Active NPI
Rosa Maria Mercado Solis
- Behavior Analyst
- Miami, FL
National Provider Identifier
1760071732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- RBT-20-147954
- Practice address
- 2400 NW 54TH St
Miami, FL 33142-2946 - Phone
- (786) 587-4524
- NPI assigned
- Jan 14, 2021
- Last updated
- Feb 16, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | RBT-20-147954 | CO | Primary |
Addresses
Primary practice location
2400 NW 54TH St
Miami, FL 33142-2946
Mailing address
1400NW 79St
F-608
Miami, FL 33147
Phone (786) 710-3769
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M623-733-80-803-0 | Other | FL | DRIVER LICENSE |
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 |
|---|---|---|---|
| RBT-20-147954 | CO | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1760071732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400NW 79ST",
"address_2": "F-608",
"city": "MIAMI",
"state": "FL",
"postal_code": "33147",
"telephone_number": "786-710-3769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 NW 54TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331422946",
"telephone_number": "786-587-4524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO SOLIS",
"first_name": "ROSA",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-14",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CO",
"license": "RBT-20-147954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "M623-733-80-803-0",
"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 Feb 16, 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.