Individual provider Active NPI

Ruben Lopez Jr

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1366957730
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
4930 SW 131St Ave
Miami, FL 33175-5310
Phone
(305) 877-9835
NPI assigned
Dec 7, 2017
Last updated
Dec 7, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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 Primary

Addresses

Primary practice location

4930 SW 131St Ave
Miami, FL 33175-5310

Mailing address

4930 SW 131St Ave
Miami, FL 33175-5310
Phone (305) 877-9835

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

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1366957730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 SW 131ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755310",
            "telephone_number": "305-877-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 SW 131ST AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755310",
            "telephone_number": "305-877-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ JR",
        "first_name": "RUBEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "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 Dec 7, 2017; 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.