Individual provider Active NPI

Ana Flavia Pino Martin, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1164174512
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-196937 Issued in FL
Practice address
815 NW 57TH Ave
Miami, FL 33126-2018
Phone
(786) 307-3626
NPI assigned
Jan 26, 2022
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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-21-196937 FL Primary

Addresses

Primary practice location

815 NW 57TH Ave
Miami, FL 33126-2018

Mailing address

13557 SW 64TH Ter
Miami, FL 33183-5012
Phone (786) 307-3626

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL anafpmartin@gmail.com Health Information Exchange (HIE)

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-21-196937FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1164174512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13557 SW 64TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331835012",
            "telephone_number": "786-307-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262018",
            "telephone_number": "786-307-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINO MARTIN",
        "first_name": "ANA",
        "middle_name": "FLAVIA",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-196937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "anafpmartin@gmail.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13557 SW 64th Ter",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331835012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 28, 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.