Individual provider Active NPI

Vanessa Martinez, MS, CCC-SLP

  • Speech-Language Pathologist
  • Hialeah, FL
National Provider Identifier
1134439805
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10912 Issued in FL
Practice address
7750 W 26 Ave.
#2
Hialeah, FL 33016
Phone
(305) 231-1276
NPI assigned
Oct 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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 SA10912 FL Primary

Addresses

Primary practice location

7750 W 26 Ave.
#2
Hialeah, FL 33016

Mailing address

1242 SW Pine Island Rd
Ste 42 #441
Cape Coral, FL 33991
Phone (239) 763-0353

Other names 1

  • Vanessa Santiago-Martinez Former name

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
SA10912FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Dysphagia Solutions Inc Speech-Language Pathologist CurrentSince Jul 23, 2023 Accepting new patients
All-Star Kids Rehab, Inc Past Accepting new patients

Locations

1242 SW Pine Island Rd
Ste 42
Cape Coral, FL 33991

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1287100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1134439805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1242 SW PINE ISLAND RD",
            "address_2": "STE 42 #441",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33991",
            "telephone_number": "239-763-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 W 26 AVE.",
            "address_2": "#2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33016",
            "telephone_number": "305-231-1276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "VANESSA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-15",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VANESSA",
            "last_name": "SANTIAGO-MARTINEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.