Individual provider Active NPI

Miriela Hernandez Fumero

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1881344174
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
113502300 Issued in FL
Practice address
995 W 29TH St Apt 203
Hialeah, FL 33012-5602
Phone
(305) 303-6573
NPI assigned
Mar 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 113502300 FL Primary

Addresses

Primary practice location

995 W 29TH St Apt 203
Hialeah, FL 33012-5602

Mailing address

995 W 29TH St Apt 203
Hialeah, FL 33012-5602
Phone (305) 303-6573

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

LicenseStateTypeSpecialty
113502300FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1881344174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 W 29TH ST APT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125602",
            "telephone_number": "305-303-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 W 29TH ST APT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330125602",
            "telephone_number": "305-303-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ FUMERO",
        "first_name": "MIRIELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "113502300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.