Individual provider Active NPI

Humberto Brea Cruz

  • Behavior Technician
  • Homestead, FL
National Provider Identifier
1679231104
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
17391 SW 302ND St
Homestead, FL 33030-3312
Phone
(786) 234-9420
NPI assigned
Dec 1, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 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 Primary

Addresses

Primary practice location

17391 SW 302ND St
Homestead, FL 33030-3312

Mailing address

17391 SW 302ND St
Homestead, FL 33030-3312
Phone (786) 234-9420

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL home

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": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1679231104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17391 SW 302ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303312",
            "telephone_number": "786-234-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17391 SW 302ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330303312",
            "telephone_number": "786-234-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREA CRUZ",
        "first_name": "HUMBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-01",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "home",
            "affiliation": "N",
            "address_1": "8707 SW 97th Ave Apt 108",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331734502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.