Individual provider Active NPI

Lilliam V Rodriguez-Manrique

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1003125097
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11495 Issued in FL
Practice address
14050 SW 84TH St Ste 201
Miami, FL 33183-4440
Phone
(305) 467-6561
Fax
(305) 851-0287
NPI assigned
Sep 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA11495 FL Primary
Speech-Language Pathologist 235Z00000X SZ5216 FL

Addresses

Primary practice location

14050 SW 84TH St Ste 201
Miami, FL 33183-4440

Mailing address

14050 SW 84TH St Ste 201
Miami, FL 33183-4440
Phone (305) 467-6561

Other practice location 1

12030 SW 129th Ct Ste 209
Miami, FL 33186-4584
Phone (786) 429-3619

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1285372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1003125097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 SW 84TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834440",
            "telephone_number": "305-467-6561",
            "fax_number": "305-851-0287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14050 SW 84TH ST STE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331834440",
            "telephone_number": "305-467-6561",
            "fax_number": "305-851-0287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12030 SW 129th Ct Ste 209",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331864584",
            "country_code": "US",
            "telephone_number": "786-429-3619",
            "fax_number": "786-842-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-MANRIQUE",
        "first_name": "LILLIAM",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-25",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11495",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5216",
            "primary": false
        }
    ],
    "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 Sep 9, 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.