Eduardo Samuell Bouza

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

8313 SW 148TH CT
Miami, FL 33193-1574

Phone

(305) 857-8477

NPI assigned

May 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1518580323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8313 SW 148TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931574",
            "telephone_number": "305-857-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8313 SW 148TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931574",
            "telephone_number": "305-857-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELL BOUZA",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandy Samuel, DMD
• George Samuel Jr., D.C.
• Mary Wanda Samuel
• Maryanne Rajan Samuel, D.O.
• Sheeba Samuel, RT
• Samlis Samuell Bouza
• Wendy Samuell
• Jennifer Samuels Jobson, CSW
• Ann May Samuels, ARNP
• Bonny Blumenthal Samuels, MS, CCC-SLP

• Behavior Technician in Miami, FL
• Providers in Miami, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.