Active NPI
Jose Luis Gonzalez
- Behavior Technician
- Doral, FL
National Provider Identifier
1699411702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-122122
- Practice address
- 8180 NW 36TH St Ste 421
Doral, FL 33166-6686 - Phone
- (305) 320-6605
- NPI assigned
- May 11, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-122122 | Primary |
Addresses
Primary practice location
8180 NW 36TH St Ste 421
Doral, FL 33166-6686
Mailing address
7509 W 31St Ave
Hialeah, FL 33018-5237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108137600 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oasis Behavior Corp | Current | Accepting new patients | |
| Dade Behavioral Services Inc | Past | Accepting new patients |
Locations
8180 NW 36th St
Ste 421
Doral, FL 33166
Phone (305) 320-6605
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Behavior Analyst
- Doral, FL
- NPI 1639685886
-
- Behavior Analyst
- Miami, FL
- NPI 1063928562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652227200000",
"number": "1699411702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7509 W 31ST AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330185237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8180 NW 36TH ST STE 421",
"city": "DORAL",
"state": "FL",
"postal_code": "331666686",
"telephone_number": "305-320-6605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JOSE",
"middle_name": "LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-05-11",
"last_updated": "2022-05-11",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": "RBT-20-122122",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "108137600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.