Individual provider Active NPI

Abraham Lazaro Urbina

  • Behavior Technician
  • Miami, FL
National Provider Identifier
1932824612
Registry record updated Oct 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
U615-012-02-142-0 Issued in FL
Practice address
12950 SW 133Rd CT
Miami, FL 33186-5806
Phone
(305) 255-6203
NPI assigned
Oct 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2022

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 U615-012-02-142-0 FL Primary

Addresses

Primary practice location

12950 SW 133Rd CT
Miami, FL 33186-5806

Mailing address

14721 SW 296TH St
Homestead, FL 33033-2849
Phone (786) 678-8366

Other identifiers 1

IdentifierTypeStateIssuer
92-0366937MedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1932824612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14721 SW 296TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330332849",
            "telephone_number": "786-678-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 SW 133RD CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865806",
            "telephone_number": "305-255-6203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBINA",
        "first_name": "ABRAHAM",
        "middle_name": "LAZARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-05",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "FL",
            "license": "U615-012-02-142-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92-0366937",
            "state": "FL"
        }
    ],
    "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 Oct 5, 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.