Individual provider Active NPI

Magdaly Cintron Mariani

  • Speech-Language Pathologist
  • Hialeah, FL
National Provider Identifier
1164720983
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA9312 Issued in FL
Practice address
6073 NW 167TH St
Suite C13
Hialeah, FL 33015-4336
Phone
(305) 362-5328
Fax
(305) 362-3303
NPI assigned
Mar 2, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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 SA9312 FL Primary

Addresses

Primary practice location

6073 NW 167TH St
Suite C13
Hialeah, FL 33015-4336

Mailing address

6073 NW 167TH St
Suite C13
Hialeah, FL 33015-4336
Phone (305) 362-5328

Other identifiers 1

IdentifierTypeStateIssuer
000000000MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SA9312FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Lakes Therapy Center, Inc Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299024000000",
    "number": "1164720983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6073 NW 167TH ST",
            "address_2": "SUITE C13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154336",
            "telephone_number": "305-362-5328",
            "fax_number": "305-362-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6073 NW 167TH ST",
            "address_2": "SUITE C13",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154336",
            "telephone_number": "305-362-5328",
            "fax_number": "305-362-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIANI",
        "first_name": "MAGDALY",
        "middle_name": "CINTRON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 2, 2011; 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.