Gretter Diaz Garcia

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-20-3662-212778 Issued in FL

Practice address

3101 Island Dr
Miramar, FL 33023-5806

Phone

(786) 804-8892

NPI assigned

Sep 20, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1871216358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 ISLAND DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235806",
            "telephone_number": "786-804-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 ISLAND DR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330235806",
            "telephone_number": "786-804-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ GARCIA",
        "first_name": "GRETTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "RBT-20-3662-212778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RBT-20-3662-212778",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gretterdiaz@hotmail.com",
            "affiliation": "N",
            "address_1": "3101 Island Dr",
            "city": "Miramar",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330235806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Devoted Medical Group, PLLC
• Shruti Dhapodkar
• Jacqueline Di Piazza, PHARMD
• Diaspo Medical Services
• Guillermo A Diaz Cabrera
• Crystian Diaz Hernandez
• Daysi Diaz Hernandez
• Camila Diaz Leon
• Melissa Diaz Vega
• Erika M Diaz- Mauri, LMHC

• Behavior Technician in Miramar, FL
• Providers in Miramar, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.