Individual provider Active NPI

Mario A Lima Cruz

  • Behavior Technician
  • West Miami, FL
National Provider Identifier
1306664446
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-373665 Issued in FL
Practice address
6024 SW 8TH St Lot D436
West Miami, FL 33144-5064
Phone
(786) 945-5554
NPI assigned
Sep 27, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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-24-373665 FL Primary

Addresses

Primary practice location

6024 SW 8TH St Lot D436
West Miami, FL 33144-5064

Mailing address

6024 SW 8TH St Lot D436
West Miami, FL 33144-5064
Phone (786) 945-5554

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-24-373665FLMDBehavior 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": "1727395200000",
    "number": "1306664446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6024 SW 8TH ST LOT D436",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445064",
            "telephone_number": "786-945-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6024 SW 8TH ST LOT D436",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445064",
            "telephone_number": "786-945-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIMA CRUZ",
        "first_name": "MARIO",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-373665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.