Individual provider Active NPI

Silvia Cruz Betancourt

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1790130375
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-122562 Issued in FL
Practice address
30 NW 87TH Ave Apt C109
Miami, FL 33172-7000
Phone
(786) 853-5721
NPI assigned
May 2, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X FL
Home Health Agency 251E00000X
Behavior Technician 106S00000X RBT-20-122562 FL Primary

Addresses

Primary practice location

30 NW 87TH Ave Apt C109
Miami, FL 33172-7000

Mailing address

30 NW 87TH Ave Apt C109
Miami, FL 33172-7000
Phone (786) 853-5721

Other practice location 1

815 NW 57th Ave Ste 200-13
Miami, FL 33126-2018
Phone (786) 328-3342

Other identifiers 1

IdentifierTypeStateIssuer
107628800MedicaidFL

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-20-122562FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
S & C Home Inc Home Health Current Accepting new patients
S&a Care Health LLC Current Accepting new patients
S & C Home Inc Current Accepting new patients
Optimal Home Health Inc PastSince Mar 1, 2021 Accepting new patients

Locations

8890 SW 24th St
Ste 219
Miami, FL 33165
Phone (786) 219-5892

Organizations & group practices 4

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": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1790130375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NW 87TH AVE APT C109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727000",
            "telephone_number": "786-853-5721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 NW 87TH AVE APT C109",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331727000",
            "telephone_number": "786-853-5721"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 NW 57th Ave Ste 200-13",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331262018",
            "country_code": "US",
            "telephone_number": "786-328-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ BETANCOURT",
        "first_name": "SILVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-02",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-122562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107628800",
            "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 Sep 17, 2020; 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.