Active NPI
Dellanida Fernandez Cruz
- Behavior Technician
- Miami Gardens, FL
National Provider Identifier
1679723530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 18533 NW 53Rd Ave
Miami Gardens, FL 33055-5341 - Phone
- (786) 291-0445
- NPI assigned
- Sep 26, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA53409 | FL | |
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
18533 NW 53Rd Ave
Miami Gardens, FL 33055-5341
Mailing address
18533 NW 53Rd Ave
Miami Gardens, FL 33055-5341
Other practice location 1
6501 NW 36th St Ste 390
Virginia Gardens, FL 33166-6963
Phone (305) 871-0920
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA53409 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647216000000",
"number": "1679723530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18533 NW 53RD AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330555341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18533 NW 53RD AVE",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330555341",
"telephone_number": "786-291-0445"
}
],
"practiceLocations": [
{
"address_1": "6501 NW 36th St Ste 390",
"address_purpose": "LOCATION",
"city": "Virginia Gardens",
"state": "FL",
"postal_code": "331666963",
"country_code": "US",
"telephone_number": "305-871-0920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ CRUZ",
"first_name": "DELLANIDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-26",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA53409",
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.