Organization Active NPI

Gonzalez Health Services Corp.

  • Behavior Analyst
  • Cutler Bay, FL
National Provider Identifier
1740721893
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GONZALEZ HEALTH SERVICES CORP.
Doing business as
Gonzalez Home Services
Practice address
10700 Caribbean Blvd
Suite 305
Cutler Bay, FL 33189
Phone
(786) 738-6475
Fax
(786) 842-3648
NPI assigned
Mar 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Isidro F Gonzalez, BCBANPI 1457903718
Title
Ceo
Phone
(786) 286-8637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary
In Home Supportive Care Agency 253Z00000X
Developmental Disabilities Clinic/Center 261QD1600X

Addresses

Primary practice location

10700 Caribbean Blvd
Suite 305
Cutler Bay, FL 33189

Mailing address

10700 Caribbean Blvd
Suite 305
Cutler Bay, FL 33189
Phone (786) 738-6475

Other identifiers 3

IdentifierTypeStateIssuer
017808900MedicaidFL
100081300MedicaidFL
100746800MedicaidFL

Other names 1

  • Gonzalez Home Services Doing business as

National Provider Directory

National Provider Directory

Locations

10700 Caribbean Blvd
Ste 305
Cutler Bay, FL 33189
Phone (786) 738-6475

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1740721893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "address_2": "SUITE 305",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "786-738-6475",
            "fax_number": "786-842-3648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 CARIBBEAN BLVD",
            "address_2": "SUITE 305",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "33189",
            "telephone_number": "786-738-6475",
            "fax_number": "786-842-3648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GONZALEZ HEALTH SERVICES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "ISIDRO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-286-8637",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017808900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100081300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100746800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gonzalez Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.

Verify at the official NPI Registry.