Maria Karla Portuondo Hernandez

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-24-74141 Issued in FL

Practice address

401 Hialeah Dr Apt 824
Hialeah, FL 33010-5398

Phone

(786) 616-6029

NPI assigned

Aug 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Philip-ABA Therapy Center Inc

  • Behavior Analyst
  • Weston, FL
  • NPI 1558176982
  NPD Authorized official
• V.B.G Health Service Inc

  • Behavior Analyst
  • Miami, FL
  • NPI 1740999440
  NPD (past)

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1780295113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 SE 3RD ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105311",
            "telephone_number": "786-616-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 HIALEAH DR APT 824",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330105398",
            "telephone_number": "786-616-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTUONDO HERNANDEZ",
        "first_name": "MARIA",
        "middle_name": "KARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-24-74141",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-120264",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milena Portela Alejo
• Ida Orlanda Portela
• Raul Portela, MD
• Virginia Portela, APRN
• Dunia Portuondo Castillo
• Juan Carlos Portuondo, DDS
• Yaneisy Portuondo
• Odalys Porven Antigua
• Yeniffer Porven Tamarit
• Yadira Porven

• Behavior Analyst in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.