Active NPI
Jorge Luis Fernandez Diaz
- Behavior Technician
- Miami, FL
National Provider Identifier
1790560720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-280563
- Practice address
- 10731 SW 149TH Ter
Miami, FL 33176-7605 - Phone
- (786) 251-4839
- NPI assigned
- Aug 28, 2023
- Sex
- Male
- 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 Technician | 106S00000X | RBT-23-280563 | FL | Primary |
Addresses
Primary practice location
10731 SW 149TH Ter
Miami, FL 33176-7605
Mailing address
10731 SW 149TH Ter
Miami, FL 33176-7605
Phone (786) 251-4839
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-23-280563 | FL | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1790560720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10731 SW 149TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767605",
"telephone_number": "786-251-4839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10731 SW 149TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331767605",
"telephone_number": "786-251-4839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERNANDEZ DIAZ",
"first_name": "JORGE LUIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-28",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "RBT-23-280563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
- Anamar Fernandez Delgado
- Fernandez Dental Office Flagler Inc.
- Fernandez Dental Office Kendall
- Daniela Fernandez Diaz
- Delio Jesus Fernandez Diaz
- Leticia Fernandez Diaz, MSN, FNP, APRN-C
- Yailin Fernandez Diaz
- Alexis Pedro Fernandez Dominguez
- Arletis Maria Fernandez Dominguez, DMD
- Osvaldo Antonio Fernandez Dominguez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.