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Andy Javier Ruiz Arango

Behavior Technician in Hialeah, FL. Individual provider (NPI-1).

NPI number1831847656
StatusActive
Last updated in NPPESMar 10, 2022

Details

NPI
1831847656
Entity type
Individual (NPI-1)
Name
Andy Javier Ruiz Arango
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 10, 2022
Certification date
Mar 10, 2022
Last updated
Mar 10, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician22-206650FLYes

Practice location

19630 W Lake Dr
Hialeah, FL 33015-2249

Phone 786-657-8707

Mailing address

19630 W Lake Dr
Hialeah, FL 33015-2249

Phone 786-657-8707

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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