Individual provider Active NPI

Denises D Gomez Tovar

  • Behavior Technician
  • Pembroke Pines, FL
National Provider Identifier
1992539696
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-373042 Issued in FL
Practice address
1482 NW 97TH Ter Unit 289
Pembroke Pines, FL 33024-4475
Phone
(786) 461-7491
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-24-373042 FL Primary

Addresses

Primary practice location

1482 NW 97TH Ter Unit 289
Pembroke Pines, FL 33024-4475

Mailing address

1482 NW 97TH Ter Unit 289
Pembroke Pines, FL 33024-4475
Phone (786) 461-7491

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-24-373042FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1992539696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 NW 97TH TER UNIT 289",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244475",
            "telephone_number": "786-461-7491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 NW 97TH TER UNIT 289",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330244475",
            "telephone_number": "786-461-7491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ TOVAR",
        "first_name": "DENISES",
        "middle_name": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-373042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.