Individual provider Active NPI

Enrique De la Cruz Muguercia

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1104518349
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-23-271820 Issued in FL
Practice address
12750 NW 17TH St Unit 216
Miami, FL 33182-1422
Phone
(888) 527-8037
NPI assigned
May 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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-23-271820 FL Primary

Addresses

Primary practice location

12750 NW 17TH St Unit 216
Miami, FL 33182-1422

Mailing address

9600 NW 25TH St Ste 5E
Doral, FL 33172-1416
Phone (888) 527-8037

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-23-271820FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Start Possibility CurrentSince Dec 8, 2024 Accepting new patients

Locations

9600 NW 25th St
Ste 5E
Doral, FL 33172

12750 NW 17th St
Unit 216
Miami, FL 33182
Phone (786) 814-1096

Organizations & group practices 1

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": "1684972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1104518349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 NW 25TH ST STE 5E",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331721416",
            "telephone_number": "888-527-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12750 NW 17TH ST UNIT 216",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331821422",
            "telephone_number": "888-527-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ MUGUERCIA",
        "first_name": "ENRIQUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-23-271820",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 4, 2024; 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.