Active NPI
Carmen Victoria Rubio Rodriguez
- Behavior Technician
- Ave Maria, FL
National Provider Identifier
1013693530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT23280839
- Practice address
- 5207 Monza CT
Ave Maria, FL 34142-5099 - Phone
- (239) 785-0396
- NPI assigned
- Jun 27, 2023
- Sex
- Female
- 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 | RBT23280839 | FL | Primary |
Addresses
Primary practice location
5207 Monza CT
Ave Maria, FL 34142-5099
Mailing address
5207 Monza CT
Ave Maria, FL 34142-5099
Phone (239) 785-0396
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 |
|---|---|---|---|
| RBT23280839 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1013693530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5207 MONZA CT",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341425099",
"telephone_number": "239-785-0396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5207 MONZA CT",
"city": "AVE MARIA",
"state": "FL",
"postal_code": "341425099",
"telephone_number": "239-785-0396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIO RODRIGUEZ",
"first_name": "CARMEN",
"middle_name": "VICTORIA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT23280839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ave Maria, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.