Angel Luis Penate

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-20-44598 Issued in FL

Practice address

5525 SW 3Rd St
Coral Gables, FL 33134-1021

Phone

(786) 312-5335

NPI assigned

Oct 19, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1801307699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 SW 3RD ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341021",
            "telephone_number": "786-312-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5525 SW 3RD ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331341021",
            "telephone_number": "786-312-5335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7171 SW 24th St Ste 315",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551692",
            "country_code": "US",
            "telephone_number": "786-615-6620",
            "fax_number": "786-615-6624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENATE",
        "first_name": "ANGEL",
        "middle_name": "LUIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-19",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-20-44598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020424100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolina Presas Penaranda, ARNP
• Michelle Marie Penaranda, APRN
• Ruben Penaranda, MD
• Ana Patricia Penas
• Andrea Penas, M.D.
• Geilin Y. Peralta, BSW
• Erika Marie Perdomo
• Robert Luis Perdomo III, DMD
• Virginia Perdomo, OPTICIAN
• Elizabeth Pereira

• Behavior Analyst in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.