Active NPI
Yordanis Ruiz Sr., YR
- Behavior Technician
- Palmetto Bay, FL
National Provider Identifier
1235747247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-127778
- Practice address
- 9304 SW 166TH Ter
Palmetto Bay, FL 33157-3427 - Phone
- (305) 985-9123
- NPI assigned
- Jul 15, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-20-127778 | FL | Primary |
Addresses
Primary practice location
9304 SW 166TH Ter
Palmetto Bay, FL 33157-3427
Mailing address
9304 SW 166TH Ter
Palmetto Bay, FL 33157-3427
Phone (305) 985-9123
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-127778 | Medicaid | FL | |
| BACB596442 | Other | FL | REGISTERD BEHAVIOR TECHNICIAN |
| BACB596442 | Medicaid | FL |
Other names 1
- Dr. Yordanis Ruiz Sr.
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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-127778 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1235747247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9304 SW 166TH TER",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331573427",
"telephone_number": "305-985-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9304 SW 166TH TER",
"city": "PALMETTO BAY",
"state": "FL",
"postal_code": "331573427",
"telephone_number": "305-985-9123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "YORDANIS",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "YR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-15",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-20-127778",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20-127778",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERD BEHAVIOR TECHNICIAN",
"identifier": "BACB596442",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "BACB596442",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YORDANIS",
"last_name": "RUIZ",
"prefix": "DR.",
"suffix": "SR.",
"credential": "YORDANIS RUIZ",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Palmetto Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.