Individual provider Active NPI

Samuel Alvarez Vazquez

  • Behavior Technician
  • Cape Coral, FL
National Provider Identifier
1215755376
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-369508 Issued in FL
Practice address
1150 NW 4TH Ave
Cape Coral, FL 33993-1006
Phone
(786) 868-7856
NPI assigned
Sep 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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-24-369508 FL Primary

Addresses

Primary practice location

1150 NW 4TH Ave
Cape Coral, FL 33993-1006

Mailing address

1150 NW 4TH Ave
Cape Coral, FL 33993-1006
Phone (786) 868-7856

Other practice location 1

1408 SE 17th Ave Ste E
Cape Coral, FL 33990-3801
Phone (239) 205-6766

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-24-369508FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1215755376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 NW 4TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339931006",
            "telephone_number": "786-868-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 NW 4TH AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339931006",
            "telephone_number": "786-868-7856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1408 SE 17th Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Cape Coral",
            "state": "FL",
            "postal_code": "339903801",
            "country_code": "US",
            "telephone_number": "239-205-6766",
            "fax_number": "239-205-6852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ VAZQUEZ",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-369508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.