Individual provider Active NPI

Ivis Martinez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1003547993
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-117809 Issued in FL
Practice address
13383 SW 42ND St
Miami, FL 33175-3204
Phone
(786) 534-8408
NPI assigned
Jun 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 RBT-20-117809 FL Primary

Addresses

Primary practice location

13383 SW 42ND St
Miami, FL 33175-3204

Mailing address

11309 SW 200TH St Apt 105C
Miami, FL 33157-8226
Phone (786) 554-8509

Other identifiers 1

IdentifierTypeStateIssuer
106345400MedicaidFL

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-20-117809FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Precious & Blessing Hands Home Services Inc CurrentSince Jun 26, 2022 Accepting new patients
Precious & Blessing Hands Home Services Inc CurrentSince Jun 26, 2022 Accepting new patients

Locations

13383 SW 42nd St
Miami, FL 33175
Phone (786) 534-8408

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1003547993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11309 SW 200TH ST APT 105C",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331578226",
            "telephone_number": "786-554-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13383 SW 42ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753204",
            "telephone_number": "786-534-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "IVIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-117809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106345400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.