Individual provider Active NPI

Jorge Eleido Carrazana

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1922612043
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
6857 W 36TH Ave Unit 203
Hialeah, FL 33018-2983
Phone
(561) 781-4974
NPI assigned
Sep 4, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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 FL Primary

Addresses

Primary practice location

6857 W 36TH Ave Unit 203
Hialeah, FL 33018-2983

Mailing address

6857 W 36TH Ave Unit 203
Hialeah, FL 33018-2983

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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1922612043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6857 W 36TH AVE UNIT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6857 W 36TH AVE UNIT 203",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330182983",
            "telephone_number": "561-781-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRAZANA",
        "first_name": "JORGE",
        "middle_name": "ELEIDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "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 Sep 4, 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.