Active NPI
Alin Ulloa
- Behavior Technician
- Hialeah, FL
National Provider Identifier
1891308565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 565 W 43Rd PL
Hialeah, FL 33012-3851 - Phone
- (786) 712-9451
- NPI assigned
- Aug 24, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | FL | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
565 W 43Rd PL
Hialeah, FL 33012-3851
Mailing address
565 W 43Rd PL
Hialeah, FL 33012-3851
Phone (786) 712-9451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 852036503 | Medicaid | FL |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1891308565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 W 43RD PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123851",
"telephone_number": "786-712-9451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 W 43RD PL",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123851",
"telephone_number": "786-712-9451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLOA",
"first_name": "ALIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-24",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Homemaker",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "852036503",
"state": "FL"
}
],
"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 Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.