Individual provider Active NPI

Juan Miguel Vega Martinez

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1194235812
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-21-163331 Issued in FL
Practice address
19653 NW 58TH CT
Hialeah, FL 33015-4914
Phone
(305) 753-2066
NPI assigned
Oct 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X RBT-21-163331 FL Primary

Addresses

Primary practice location

19653 NW 58TH CT
Hialeah, FL 33015-4914

Mailing address

19653 NW 58TH CT
Hialeah, FL 33015-4914
Phone (305) 753-2066

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-21-163331FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Behavior Care LLC Behavior Technician CurrentSince Oct 23, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1507420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1194235812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19653 NW 58TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154914",
            "telephone_number": "305-753-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19653 NW 58TH CT",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154914",
            "telephone_number": "305-753-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA MARTINEZ",
        "first_name": "JUAN",
        "middle_name": "MIGUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-08",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-21-163331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.