Individual provider Active NPI

Ruben Marichal, RBT

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1669757407
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT20147518 Issued in FL
Practice address
8841 SW 25TH St
Miami, FL 33165-2018
Phone
(305) 323-1743
Fax
(305) 764-3505
NPI assigned
Oct 12, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA43722 FL
Behavior Technician 106S00000X RBT20147518 FL Primary

Addresses

Primary practice location

8841 SW 25TH St
Miami, FL 33165-2018

Mailing address

10375 N Kendall Dr
Apartment J-4
Miami, FL 33176-1675
Phone (305) 323-1743

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
RBT20147518FLMDBehavior Technician
MA43722FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1669757407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10375 N KENDALL DR",
            "address_2": "APARTMENT J-4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761675",
            "telephone_number": "305-323-1743",
            "fax_number": "305-764-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8841 SW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652018",
            "telephone_number": "305-323-1743",
            "fax_number": "305-764-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARICHAL",
        "first_name": "RUBEN",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-12",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA43722",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT20147518",
            "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 Feb 19, 2021; 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.