Individual provider Active NPI

Yinelsa Freire Vazquez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1609603612
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-357745 Issued in FL
Practice address
13155 SW 134TH St Ste 202
Miami, FL 33186-4488
Phone
(786) 504-3119
Fax
(954) 206-2835
NPI assigned
Sep 16, 2024
Last updated
Sep 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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-24-357745 FL Primary

Addresses

Primary practice location

13155 SW 134TH St Ste 202
Miami, FL 33186-4488

Mailing address

10227 SW 24TH St Apt B128
Miami, FL 33165-2579

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-24-357745FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Personal Management LLC CurrentSince Sep 23, 2024 Accepting new patients
Florida Personal Management LLC CurrentSince Sep 23, 2024 Accepting new patients

Locations

13155 SW 134th St
Ste 202
Miami, FL 33186
Phone (786) 471-1929

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1609603612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10227 SW 24TH ST APT B128",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13155 SW 134TH ST STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864488",
            "telephone_number": "786-504-3119",
            "fax_number": "954-206-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIRE VAZQUEZ",
        "first_name": "YINELSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-357745",
            "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 Sep 16, 2024; 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.