Individual provider Active NPI

Leslie Coro-Santoyo, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1053622282
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ5071 Issued in FL
Practice address
12030 SW 129TH CT Ste 202
Miami, FL 33186-4584
Phone
(786) 390-6793
Fax
(786) 375-5388
NPI assigned
Jun 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ5071 FL Primary

Addresses

Primary practice location

12030 SW 129TH CT Ste 202
Miami, FL 33186-4584

Mailing address

12030 SW 129TH CT Ste 202
Miami, FL 33186-4584
Phone (786) 390-6793

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SZ5071FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413504000000",
    "number": "1053622282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12030 SW 129TH CT STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864584",
            "telephone_number": "786-390-6793",
            "fax_number": "786-375-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12030 SW 129TH CT STE 202",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864584",
            "telephone_number": "786-390-6793",
            "fax_number": "786-375-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORO-SANTOYO",
        "first_name": "LESLIE",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2014-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5071",
            "primary": true
        }
    ],
    "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 Oct 17, 2014; 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.