Active NPI
Abel Enrique Gutierrez Villanueva
- Behavior Technician
- Homestead, FL
National Provider Identifier
1710759568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-283739
- Practice address
- 28802 SW 160TH CT
Homestead, FL 33033-1162 - Phone
- (305) 812-6509
- NPI assigned
- Oct 25, 2023
- Last updated
- Dec 14, 2023
- Sex
- Male
- Sole proprietor
- No
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-23-283739 | FL | Primary |
Addresses
Primary practice location
28802 SW 160TH CT
Homestead, FL 33033-1162
Mailing address
28802 SW 160TH CT
Homestead, FL 33033-1162
Phone (305) 812-6509
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-283739 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1710759568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28802 SW 160TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331162",
"telephone_number": "305-812-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28802 SW 160TH CT",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330331162",
"telephone_number": "305-812-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ VILLANUEVA",
"first_name": "ABEL",
"middle_name": "ENRIQUE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-10-25",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-283739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.