Individual provider Active NPI

Marileidis D Dominguez Alvarez

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1891542437
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
24-340202 Issued in FL
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

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
24-340202FLMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Individual and Family Counseling Inc CurrentSince Aug 31, 2024 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.

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.

Verify at the official NPI Registry.