Active NPI
Ictiandro Rodriguez Iglesias
- Behavior Technician
- Miami, FL
National Provider Identifier
1396240891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-22-240899
- Practice address
- 7855 NE 2ND Ave Apt 505
Miami, FL 33138-4979 - Phone
- (786) 961-2088
- NPI assigned
- Mar 27, 2018
- 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-22-240899 | FL | Primary |
Addresses
Primary practice location
7855 NE 2ND Ave Apt 505
Miami, FL 33138-4979
Mailing address
7855 NE 2ND Ave Apt 505
Miami, FL 33138-4979
Phone (786) 961-2088
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-22-240899 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667952000000",
"number": "1396240891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7855 NE 2ND AVE APT 505",
"city": "MIAMI",
"state": "FL",
"postal_code": "331384979",
"telephone_number": "786-961-2088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7855 NE 2ND AVE APT 505",
"city": "MIAMI",
"state": "FL",
"postal_code": "331384979",
"telephone_number": "786-961-2088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ IGLESIAS",
"first_name": "ICTIANDRO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-03-27",
"last_updated": "2022-11-09",
"certification_date": "2022-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-22-240899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Mayda Rodriguez Hernandez, CBHCM
- Milvia Rodriguez Hernandez
- Rosario Rodriguez Hernandez
- Leyris Rodriguez Hurtado
- Harlyn Rodriguez Iglesias, MSN, APRN, FNP, BC
- Bexy Rodriguez Infiesta, AGNP
- Beatriz Rodriguez Iniquez
- Caridad Ramona Rodriguez Jimenez, RBT
- Daniela De la Caridad Rodriguez Jimenez
- Natalia Rodriguez Jimenez, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.