Active NPI
Emilio Portuondo
- Speech-Language Assistant
- Homestead, FL
National Provider Identifier
1194384354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI3911
- Practice address
- 45 NW 8TH St Ste 104
Homestead, FL 33030-4452 - Phone
- (786) 601-2042
- NPI assigned
- Jun 11, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SI3911 | FL | Primary |
Addresses
Primary practice location
45 NW 8TH St Ste 104
Homestead, FL 33030-4452
Mailing address
10755 SW 119TH St
Miami, FL 33176-3945
Phone (786) 295-4375
Other practice location 1
3400 Coral Way Ste 202
Miami, FL 33145-3053
Phone (305) 856-1999
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
| License | State | Type | Specialty |
|---|---|---|---|
| SI3911 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Therapy Center, Inc. | Speech-Language Assistant | 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": "1560211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573689600000",
"number": "1194384354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10755 SW 119TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331763945",
"telephone_number": "786-295-4375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 NW 8TH ST STE 104",
"city": "HOMESTEAD",
"state": "FL",
"postal_code": "330304452",
"telephone_number": "786-601-2042"
}
],
"practiceLocations": [
{
"address_1": "3400 Coral Way Ste 202",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331453053",
"country_code": "US",
"telephone_number": "305-856-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTUONDO",
"first_name": "EMILIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-11",
"last_updated": "2019-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI3911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Homestead, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.