Individual provider Active NPI

Yanniel Martinez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1114689965
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-168727 Issued in FL
Practice address
13331 SW 71St St
Miami, FL 33183-2309
Phone
(786) 202-2245
NPI assigned
Oct 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 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 RBT-21-168727 FL Primary

Addresses

Primary practice location

13331 SW 71St St
Miami, FL 33183-2309

Mailing address

1436 E Mowry Dr Apt 204
Homestead, FL 33033-4963
Phone (786) 202-2245

Other practice location 1

433 Plaza Real Ste 275
Boca Raton, FL 33432-3999
Phone (561) 320-2844

Other names 1

  • Mr. Yanniel Martinez Mesa Other name

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-21-168727FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1114689965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 E MOWRY DR APT 204",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330334963",
            "telephone_number": "786-202-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13331 SW 71ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832309",
            "telephone_number": "786-202-2245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza Real Ste 275",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334323999",
            "country_code": "US",
            "telephone_number": "561-320-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "YANNIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-168727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YANNIEL",
            "last_name": "MARTINEZ MESA",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 8, 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.