Individual provider Active NPI

Leidy Lorenzo Cruz

  • Behavior Technician
  • Hialeah, FL
National Provider Identifier
1902693690
Registry record updated Apr 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
25-428108 Issued in FL
Practice address
6075 W 20TH Ave Apt 113
Hialeah, FL 33012-7564
Phone
(786) 328-2582
NPI assigned
Apr 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2025

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 25-428108 FL Primary

Addresses

Primary practice location

6075 W 20TH Ave Apt 113
Hialeah, FL 33012-7564

Mailing address

6075 W 20TH Ave Apt 113
Hialeah, FL 33012-7564
Phone (786) 328-2582

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
25-428108FLMDBehavior Technician

NPI Registry JSON

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745452800000",
    "number": "1902693690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6075 W 20TH AVE APT 113",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127564",
            "telephone_number": "786-328-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6075 W 20TH AVE APT 113",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330127564",
            "telephone_number": "786-328-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORENZO CRUZ",
        "first_name": "LEIDY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "25-428108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.