Active NPI
Agueda Lucia Carrera Alvarez, LMT63211
- Behavior Technician
- Miami, FL
National Provider Identifier
1801176409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-20-120430
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-20-120430 | FL | MD | Behavior Technician |
| MA63211 | FL | MD | Massage 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.