Individual provider Active NPI

Aliana Manso Ruiz

  • Developmental Therapist
  • Miami Lakes, FL
National Provider Identifier
1417305053
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
15495 Miami Lakeway N Apt 104
Miami Lakes, FL 33014-5524
Phone
(786) 709-6144
NPI assigned
May 24, 2016
Last updated
Jun 8, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU
Developmental Therapist 222Q00000X NU Primary

Addresses

Primary practice location

15495 Miami Lakeway N Apt 104
Miami Lakes, FL 33014-5524

Mailing address

15495 Miami Lakeway N Apt 104
Miami Lakes, FL 33014-5524
Phone (786) 709-6144

Other identifiers 1

IdentifierTypeStateIssuer
017787000MedicaidFL

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1417305053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15495 MIAMI LAKEWAY N APT 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145524",
            "telephone_number": "786-709-6144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15495 MIAMI LAKEWAY N APT 104",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330145524",
            "telephone_number": "786-709-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANSO RUIZ",
        "first_name": "ALIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017787000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.