Individual provider Active NPI

Massiel Cancio Martinez, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1336793926
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-83882 Issued in FL
Practice address
12700 SW 122ND Ave Ste 110
Miami, FL 33186-5271
Phone
(786) 353-2900
Fax
(786) 364-1676
NPI assigned
Jul 31, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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-19-83882 FL Primary

Addresses

Primary practice location

12700 SW 122ND Ave Ste 110
Miami, FL 33186-5271

Mailing address

7380 SW 38TH St
Miami, FL 33155-6652
Phone (786) 422-2193

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-19-83882FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Integral Development Services Inc CurrentSince Aug 6, 2019 Accepting new patients
Integral Development Services Inc CurrentSince Aug 6, 2019 Accepting new patients

Locations

12700 SW 122nd Ave
Ste 110
Miami, FL 33186
Phone (786) 353-2900

Organizations & group practices 2

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1336793926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7380 SW 38TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556652",
            "telephone_number": "786-422-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SW 122ND AVE STE 110",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865271",
            "telephone_number": "786-353-2900",
            "fax_number": "786-364-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANCIO MARTINEZ",
        "first_name": "MASSIEL",
        "credential": "RBT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-19-83882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2019; 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.