Active NPI
Marileidis D Dominguez Alvarez
- Behavior Technician
- Miami, FL
National Provider Identifier
1891542437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 24-340202
- Practice address
- 1401 SW 1St St Ste 100
Miami, FL 33135-2261 - Phone
- (305) 400-8998
- NPI assigned
- May 1, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 24-340202 | FL | Primary |
Addresses
Primary practice location
1401 SW 1St St Ste 100
Miami, FL 33135-2261
Mailing address
14860 NW 16TH Dr
Miami, FL 33167-1020
Phone (786) 873-6729
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 |
|---|---|---|---|
| 24-340202 | FL | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Individual and Family Counseling Inc | Current | Accepting new patients |
Locations
1401 SW 1st St
Ste 100
Miami, FL 33135
Phone (305) 400-8998
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1073993119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715904000000",
"number": "1891542437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14860 NW 16TH DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331671020",
"telephone_number": "786-873-6729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SW 1ST ST STE 100",
"city": "MIAMI",
"state": "FL",
"postal_code": "331352261",
"telephone_number": "305-400-8998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGUEZ ALVAREZ",
"first_name": "MARILEIDIS",
"middle_name": "D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-01",
"last_updated": "2024-05-17",
"certification_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "FL",
"license": "24-340202",
"primary": true
}
],
"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 May 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.