Individual provider Active NPI

Ivana Guzman Torres

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1679112700
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
19106669 Issued in FL
Practice address
17500 NW 67TH CT Apt P
Hialeah, FL 33015-5836
Phone
(786) 695-1100
NPI assigned
Jan 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 19106669 FL Primary

Addresses

Primary practice location

17500 NW 67TH CT Apt P
Hialeah, FL 33015-5836

Mailing address

17500 NW 67TH CT Apt P
Hialeah, FL 33015-5836
Phone (786) 695-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ivagutorres@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19106669FLMDBehavior Technician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578355200000",
    "number": "1679112700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17500 NW 67TH CT APT P",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155836",
            "telephone_number": "786-695-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17500 NW 67TH CT APT P",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330155836",
            "telephone_number": "786-695-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN TORRES",
        "first_name": "IVANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "19106669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ivagutorres@hotmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "17500 NW 67th Ct Apt P",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330155836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.