Individual provider Active NPI

Yurlin Duque Ruiz

  • Behavior Technician
  • Naranja, FL
National Provider Identifier
1205330149
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
20-126081 Issued in FL
Practice address
27501 S Dixie Hwy Ste 200
Naranja, FL 33032-8219
Phone
(786) 601-2608
Fax
(305) 647-0250
NPI assigned
Mar 23, 2018
Last updated
Sep 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X 023412800 FL
Behavior Technician 106S00000X 20-126081 FL Primary

Addresses

Primary practice location

27501 S Dixie Hwy Ste 200
Naranja, FL 33032-8219

Mailing address

26781 SW 128TH CT
Homestead, FL 33032-7896
Phone (786) 320-0696

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
023412800FLMDBehavior Technician
20-126081FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1205330149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26781 SW 128TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330327896",
            "telephone_number": "786-320-0696",
            "fax_number": "305-647-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27501 S DIXIE HWY STE 200",
            "city": "NARANJA",
            "state": "FL",
            "postal_code": "330328219",
            "telephone_number": "786-601-2608",
            "fax_number": "305-647-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUQUE RUIZ",
        "first_name": "YURLIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-23",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "023412800",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "20-126081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naranja, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.