Individual provider Active NPI

Maria Elena Munoz, MS SLP

  • Speech-Language Pathologist
  • Palmetto Bay, FL
National Provider Identifier
1225312655
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11789 Issued in FL
Practice address
8950 SW 152ND St Ste 107
Palmetto Bay, FL 33157-2066
Phone
(786) 281-3928
Fax
(833) 672-2767
NPI assigned
Oct 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X
Speech-Language Pathologist 235Z00000X SA11789 FL Primary

Addresses

Primary practice location

8950 SW 152ND St Ste 107
Palmetto Bay, FL 33157-2066

Mailing address

12674 SW 144TH Ter
Miami, FL 33186-5990
Phone (786) 281-3928

Other identifiers 1

IdentifierTypeStateIssuer
004297700MedicaidFL

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
SA11789FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Logos Therapy Group LLC Speech-Language Pathologist CurrentSince Mar 1, 2022 Accepting new patients

Locations

8950 SW 152nd St
Ste 107
Palmetto Bay, FL 33157
Phone (786) 234-4000

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": "1317686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1225312655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12674 SW 144TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331865990",
            "telephone_number": "786-281-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 SW 152ND ST STE 107",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331572066",
            "telephone_number": "786-281-3928",
            "fax_number": "833-672-2767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNOZ",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "MS SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-04",
        "last_updated": "2024-02-01",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004297700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.