Active NPI
Daniel Quintero
- Behavior Technician
- Miami Springs, FL
National Provider Identifier
1790540334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1066689
- Practice address
- 657 South Dr Ste 403
Miami Springs, FL 33166-5926 - Phone
- (786) 860-5161
- NPI assigned
- Feb 13, 2024
- Last updated
- Feb 13, 2024
- 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 | BACB1066689 | FL | Primary |
Addresses
Primary practice location
657 South Dr Ste 403
Miami Springs, FL 33166-5926
Mailing address
957 W 65TH St
Hialeah, FL 33012
Phone (786) 420-8219
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 |
|---|---|---|---|
| BACB1066689 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacosta Therapy, LLC | Current | Accepting new patients |
Locations
657 South Dr
Ste 403
Miami Springs, FL 33166
Phone (786) 860-5161
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707782400000",
"number": "1790540334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "957 W 65TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33012",
"telephone_number": "786-420-8219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "657 SOUTH DR STE 403",
"city": "MIAMI SPRINGS",
"state": "FL",
"postal_code": "331665926",
"telephone_number": "786-860-5161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTERO",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-13",
"last_updated": "2024-02-13",
"certification_date": "2024-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1066689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.