Individual provider Active NPI

Maria Cruz

  • Behavior Analyst
  • Miami, FL
National Provider Identifier
1720515869
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
020401000 Issued in FL
Practice address
10691 N Kendall Dr Ste 304
Miami, FL 33176-1551
Phone
(786) 534-7172
NPI assigned
May 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Behavior Analyst 103K00000X 020401000 FL Primary

Addresses

Primary practice location

10691 N Kendall Dr Ste 304
Miami, FL 33176-1551

Mailing address

815 NW 57TH Ave Ste 114
Miami, FL 33126-2041

Other identifiers 1

IdentifierTypeStateIssuer
020401000MedicaidFL

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
020401000FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Group Therapy Center, Inc Current Accepting new patients
Advanced Health Clinic Inc Current Accepting new patients
Group Therapy Center, Inc Current Accepting new patients
Bett-ER Support & Service Inc PastSince Feb 1, 2022 Accepting new patients
Bett-ER Support & Service Inc Behavior Analyst PastSince Feb 1, 2022 Accepting new patients

Locations

10691 N Kendall Dr
Ste 304
Miami, FL 33176
Phone (305) 960-7900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1720515869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 NW 57TH AVE STE 114",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331262041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10691 N KENDALL DR STE 304",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761551",
            "telephone_number": "786-534-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "020401000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020401000",
            "state": "FL"
        }
    ],
    "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 Jan 26, 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.