Carolina Mercado

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI5294 Issued in FL

Practice address

10200 NW 25TH St # a-108
Doral, FL 33172-5921

Phone

(786) 717-5649

NPI assigned

Apr 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Exceptional Speech Therapy

  • Behavior Analyst
  • Doral, FL
  • NPI 1740857259
  NPD
• Exceptional Speech Therapy

  • Clinic/Center
  • Doral, FL
  • NPI 1821420704

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1174264402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12823 SW 71ST LN",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331832442",
            "telephone_number": "305-988-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST # A-108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-717-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SI5294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "X",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "xs",
            "affiliation": "N",
            "address_1": "10200 NW 25th St # A-108",
            "city": "Doral",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331725921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Miguel Javier Menendez, MD
• Daniel Menocal
• Mental Care Medical Center Inc
• Meraki Wellness & Healing Inc.
• Meraki Wellness & Healing Inc.
• Mercy'S Health Inc.
• Merino Services Corp
• Maria Virginia Merrill Facio, LMHC
• Irina Mesa Wilson, BS
• Carlos Jose Mesa, O.D.

• Speech-Language Pathologist in Doral, FL
• Providers in Doral, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.