Individual provider Active NPI

Ariadna Diaz Martinez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1053086033
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
2651 W 12TH Ave
Hialeah, FL 33010-1014
Phone
(786) 286-2278
NPI assigned
Aug 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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 Primary

Addresses

Primary practice location

2651 W 12TH Ave
Hialeah, FL 33010-1014

Mailing address

2651 W 12TH Ave
Hialeah, FL 33010-1014
Phone (786) 286-2278

Other identifiers 2

IdentifierTypeStateIssuer
6661MedicaidFL
110959800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pc

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

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1053086033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2651 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101014",
            "telephone_number": "786-286-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 W 12TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330101014",
            "telephone_number": "786-286-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ MARTINEZ",
        "first_name": "ARIADNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6661",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110959800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pc",
            "affiliation": "N",
            "address_1": "2651 W 12th Ave",
            "city": "Hialeah",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330101014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.