Individual provider Active NPI

Andres Rivera Cruz

  • Behavior Technician
  • Cutler Bay, FL
National Provider Identifier
1710538822
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-18-59577 Issued in FL
Practice address
20950 SW 87TH Ave Apt 107
Cutler Bay, FL 33189-3943
Phone
(786) 273-8224
NPI assigned
Sep 20, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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-18-59577 FL Primary

Addresses

Primary practice location

20950 SW 87TH Ave Apt 107
Cutler Bay, FL 33189-3943

Mailing address

20950 SW 87TH Ave Apt 107
Cutler Bay, FL 33189-3943
Phone (786) 273-8224

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-18-59577FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1710538822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20950 SW 87TH AVE APT 107",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893943",
            "telephone_number": "786-273-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20950 SW 87TH AVE APT 107",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331893943",
            "telephone_number": "786-273-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA CRUZ",
        "first_name": "ANDRES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-20",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-18-59577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cutler Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2019; 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.