Individual provider Active NPI

Irina Vazquez Cruz

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1164934774
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8785 SW 165TH Ave Ste 103
Miami, FL 33193
Phone
(786) 206-6500
NPI assigned
Nov 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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 FL Primary

Addresses

Primary practice location

8785 SW 165TH Ave Ste 103
Miami, FL 33193

Mailing address

2771 Riverside Dr Apt 205
Coral Springs, FL 33065-5547
Phone (813) 803-0896

Other practice location 1

6409 N Thatcher Ave
Tampa, FL 33614-4838
Phone (813) 803-0896

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

NPI Registry JSON

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

{
    "created_epoch": "1509753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556150400000",
    "number": "1164934774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2771 RIVERSIDE DR APT 205",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655547",
            "telephone_number": "813-803-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8785 SW 165TH AVE STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33193",
            "telephone_number": "786-206-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6409 N Thatcher Ave",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336144838",
            "country_code": "US",
            "telephone_number": "813-803-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAZQUEZ CRUZ",
        "first_name": "IRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-04",
        "last_updated": "2019-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "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 Apr 25, 2019; 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.