Individual provider Active NPI

Isaimy Diaz Cruz

  • Behavior Technician
  • Cutler Bay, FL
National Provider Identifier
1124831763
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-25-407917 Issued in FL
Practice address
10471 SW 216TH St Apt 207
Cutler Bay, FL 33190-1624
Phone
(305) 972-4167
NPI assigned
Jan 28, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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-25-407917 FL Primary

Addresses

Primary practice location

10471 SW 216TH St Apt 207
Cutler Bay, FL 33190-1624

Mailing address

10471 SW 216TH St Apt 207
Cutler Bay, FL 33190-1624
Phone (305) 972-4167

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-25-407917FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1124831763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10471 SW 216TH ST APT 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901624",
            "telephone_number": "305-972-4167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10471 SW 216TH ST APT 207",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331901624",
            "telephone_number": "305-972-4167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ CRUZ",
        "first_name": "ISAIMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-25-407917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.