NPIMap

Organization Active NPI

Speech Pathology of Coral Gables, Inc.

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1093944811
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SPEECH PATHOLOGY OF CORAL GABLES, INC.
Practice address
603 SW 57TH Ave
Miami, FL 33144-3919
Phone
(305) 774-1788
Fax
(305) 774-1789
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Mrs. Lucy L Lopes, M.S., CCC-SLP
Title
President/ Speech-Language Patholog
Phone
(305) 774-1788

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

603 SW 57TH Ave
Miami, FL 33144-3919

Mailing address

250 Catalonia Ave
Suite 804
Coral Gables, FL 33134-6735
Phone (305) 774-1788

Other identifiers 1

IdentifierTypeStateIssuer
003542700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@spcg.us Direct

National Provider Directory

National Provider Directory

Locations

300 Sevilla Ave
Ste 206
Coral Gables, FL 33134
Phone (305) 774-1788

250 Catalonia Ave
Ste 804
Coral Gables, FL 33134
Phone (305) 774-1788

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1093944811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 CATALONIA AVE",
            "address_2": "SUITE 804",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346735",
            "telephone_number": "305-774-1788",
            "fax_number": "305-774-1789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SW 57TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331443919",
            "telephone_number": "305-774-1788",
            "fax_number": "305-774-1789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY OF CORAL GABLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "LOPES",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/ SPEECH-LANGUAGE PATHOLOG",
        "authorized_official_telephone_number": "305-774-1788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003542700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@spcg.us",
            "affiliation": "N",
            "endpointDescription": "Office Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "603 SW 57th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331443919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 16, 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.