Individual provider Active NPI

Eduardo Caceres Diaz

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1760239271
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-24-343275 Issued in FL
Practice address
8801 Fontainebleau Blvd Apt 102
Miami, FL 33172-4438
Phone
(786) 820-8854
NPI assigned
May 2, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 RBT-24-343275 FL Primary

Addresses

Primary practice location

8801 Fontainebleau Blvd Apt 102
Miami, FL 33172-4438

Mailing address

8801 Fontainebleau Blvd Apt 102
Miami, FL 33172-4438
Phone (786) 820-8854

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-24-343275FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1760239271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 FONTAINEBLEAU BLVD APT 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724438",
            "telephone_number": "786-820-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 FONTAINEBLEAU BLVD APT 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331724438",
            "telephone_number": "786-820-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES DIAZ",
        "first_name": "EDUARDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-24-343275",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 2, 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.