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1851185193 NPI number — JOSE R BOUZA MARTINEZ RBT

NPI Number: 1851185193
Health Care Provider/Practitioner: JOSE R BOUZA MARTINEZ RBT

Information about “1851185193” NPI (JOSE R BOUZA MARTINEZ RBT) exists in 1851185193 in HTML format HTML  |  1851185193 in plain Text format TXT  |  1851185193 in PDF (Portable Document Format) PDF  |  1851185193 in an XML format XML  formats.

NPI Number : 1851185193 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1851185193",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BOUZA MARTINEZ",
    "FirstName": "JOSE",
    "MiddleName": "R",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "RBT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4030 NW 187TH TER",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MIAMI GARDENS",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33055-2741",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "786-616-6739",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4030 NW 187TH TER",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MIAMI GARDENS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33055-2741",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "786-616-6739",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/09/2025",
    "LastUpdateDate": "04/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "BACB1033315",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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