Individual provider Active NPI

Ihosvany Fernandez Ortiz

  • Behavior Analyst
  • Homestead, FL
National Provider Identifier
1902429426
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
RBT-20118084 Issued in FL
Practice address
1568 SW 2ND St
Homestead, FL 33030-6692
Phone
(786) 379-7498
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X RBT-20118084 FL Primary

Addresses

Primary practice location

1568 SW 2ND St
Homestead, FL 33030-6692

Mailing address

1568 SW 2ND St
Homestead, FL 33030-6692
Phone (786) 379-7498

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL MIAMI

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
RBT-20118084FLMDBehavioral Analyst

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1902429426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 SW 2ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306692",
            "telephone_number": "786-379-7498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 SW 2ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306692",
            "telephone_number": "786-379-7498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ ORTIZ",
        "first_name": "IHOSVANY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "RBT-20118084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "MIAMI",
            "affiliation": "N",
            "address_1": "1568 SW 2nd St",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330306692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.