Dora Poey Rodriguez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

BACB580690 Issued in FL

Practice address

18451 NW 37TH Ave Apt 152
Miami Gardens, FL 33056-5118

Phone

(786) 325-0610

NPI assigned

Mar 30, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 30, 2022.

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648598400000",
    "number": "1154061968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18451 NW 37TH AVE APT 152",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330565118",
            "telephone_number": "786-325-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18451 NW 37TH AVE APT 152",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330565118",
            "telephone_number": "786-325-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEY RODRIGUEZ",
        "first_name": "DORA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "BACB580690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108461500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• PMR la Holding, LLC
• PMR la Holding, LLC
• PMR US Holdings, LLC
• PMR Virginia Holding, LLC
• Podiatry Associates of Miami Gardens, LLC
• Jessica Poey
• Cheryl Diana Polite-Eaford, LCSW
• Polka Line Supplies Inc
• Danielly Pombo Gavilan
• Daibelys Ponce

• All providers in Miami Gardens, FL
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2022; 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.