Active NPI
Ilena Garcia Rodriguez
- Behavior Technician
- Miami, FL
National Provider Identifier
1790207280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 15-07869
- Practice address
- 19800 SW 180TH Ave # Lote504
Miami, FL 33187-2619 - Phone
- (055) 049-3183
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- 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 | 15-07869 | FL | Primary |
Addresses
Primary practice location
19800 SW 180TH Ave # Lote504
Miami, FL 33187-2619
Mailing address
19800 SW 180TH Ave Lot 504
Miami, FL 33187-2617
Phone (305) 504-9318
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 |
|---|---|---|---|
| 15-07869 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1790207280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19800 SW 180TH AVE LOT 504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331872617",
"telephone_number": "305-504-9318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19800 SW 180TH AVE # LOTE504",
"city": "MIAMI",
"state": "FL",
"postal_code": "331872619",
"telephone_number": "055-049-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA RODRIGUEZ",
"first_name": "ILENA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "15-07869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.