Individual provider Active NPI

Agueda Lucia Carrera Alvarez, LMT63211

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1801176409
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-20-120430 Issued in FL
Practice address
2757 SW 10TH St Apt 9
Miami, FL 33135-4648
Phone
(786) 312-6847
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X RBT-20-120430 FL Primary
Massage Therapist 225700000X MA63211 FL

Addresses

Primary practice location

2757 SW 10TH St Apt 9
Miami, FL 33135-4648

Mailing address

1000 SW 29TH Ave
Apt. #6
Miami, FL 33135-4583
Phone (786) 312-6847

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-20-120430FLMDBehavior Technician
MA63211FLMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1801176409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SW 29TH AVE",
            "address_2": "APT. #6",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354583",
            "telephone_number": "786-312-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2757 SW 10TH ST APT 9",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331354648",
            "telephone_number": "786-312-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERA ALVAREZ",
        "first_name": "AGUEDA",
        "middle_name": "LUCIA",
        "credential": "LMT63211",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-120430",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA63211",
            "primary": false
        }
    ],
    "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 Mar 10, 2021; 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.