Active NPI
Lourdes M Miranda Olivera
- Behavior Technician
- Miami, FL
National Provider Identifier
1063935021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-18-62888
- Practice address
- 13195 SW 134TH St Ste 201
Miami, FL 33186-4585 - Phone
- (786) 206-6500
- NPI assigned
- Jul 21, 2017
- Last updated
- Feb 4, 2025
- 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 | RBT-18-62888 | FL | Primary |
Addresses
Primary practice location
13195 SW 134TH St Ste 201
Miami, FL 33186-4585
Mailing address
6070 NW 64TH Ave Apt 302
Tamarac, FL 33319-2255
Phone (786) 317-0608
Other practice location 1
850 NW Federal Hwy # 173
Stuart, FL 34994-1019
Phone (954) 579-7973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 021663200 | Medicaid | FL |
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 |
|---|---|---|---|
| RBT-18-62888 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1063935021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6070 NW 64TH AVE APT 302",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333192255",
"telephone_number": "786-317-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13195 SW 134TH ST STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331864585",
"telephone_number": "786-206-6500"
}
],
"practiceLocations": [
{
"address_1": "850 NW Federal Hwy # 173",
"address_purpose": "LOCATION",
"city": "Stuart",
"state": "FL",
"postal_code": "349941019",
"country_code": "US",
"telephone_number": "954-579-7973",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIRANDA OLIVERA",
"first_name": "LOURDES",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-21",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-18-62888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "021663200",
"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 Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.