Provider Demographics
NPI:1336748938
Name:ALMESTRE HERNANDEZ, JOSE ERNESTO (RBT)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:ERNESTO
Last Name:ALMESTRE HERNANDEZ
Suffix:
Gender:M
Credentials:RBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14391 SW 268TH ST APT 307
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33032-8195
Mailing Address - Country:US
Mailing Address - Phone:305-905-4910
Mailing Address - Fax:
Practice Address - Street 1:14391 SW 268TH ST APT 307
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33032-8195
Practice Address - Country:US
Practice Address - Phone:305-905-4910
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-23
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRBT-20-127485106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician