Active NPI
Hector J Gonzalez
- Behavior Technician
- Homestead, FL
National Provider Identifier
1962978577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-57517
- Practice address
- 70 NW 6TH St
Homestead, FL 33030-5934 - Phone
- (786) 410-8922
- NPI assigned
- Oct 22, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-57517 | FL | Primary |
Addresses
Primary practice location
70 NW 6TH St
Homestead, FL 33030-5934
Mailing address
4041 SW 117TH Ave
Miami, FL 33175-1706
Phone (786) 718-9960
Other practice location 1
381 N Krome Ave Ste 206
Homestead, FL 33030-6047
Phone (786) 410-8922
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022247900 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-18-57517 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632182400000",
"number": "1962978577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 SW 117TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331751706",
"telephone_number": "786-718-9960",
"fax_number": "305-264-9764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 NW 6TH ST",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330305934",
"telephone_number": "786-410-8922"
}
],
"practiceLocations": [
{
"address_1": "381 N Krome Ave Ste 206",
"address_purpose": "LOCATION",
"city": "Homestead",
"state": "FL",
"postal_code": "330306047",
"country_code": "US",
"telephone_number": "786-410-8922",
"fax_number": "786-504-8140",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GONZALEZ",
"first_name": "HECTOR",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-10-22",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-57517",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022247900",
"state": "FL"
}
],
"endpoints": [],
"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 Sep 21, 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.