Wendy Diaz-Agero, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA13725 Issued in FL

Practice address

4941 Hawkes Bluff Ave
Davie, FL 33331-3311

Phone

(305) 801-4048

NPI assigned

Feb 12, 2014

Last updated

Sep 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Onward Speech and Language Therapy

  • Speech-Language Pathologist
  • Davie, FL
  • NPI 1376268151
  NPD Authorized official
• The Speech and Language Connection

  • Speech-Language Pathologist
  • Katy, TX
  • NPI 1013215300
  NPD (past)

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1225452196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4941 HAWKES BLUFF AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313311",
            "telephone_number": "305-801-4048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4941 HAWKES BLUFF AVE",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333313311",
            "telephone_number": "305-801-4048"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23922 Cinco Village Center Blvd",
            "address_2": "Ste. 120",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774946619",
            "country_code": "US",
            "telephone_number": "281-391-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ-AGERO",
        "first_name": "WENDY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "107597",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mailyn Diaz Fundora
• Gabriela Del Mar Diaz Graulau
• Dailen Nairobys Diaz Machado
• Raisa Diaz Rodriguez, DC
• Maria Fernanda Diaz Val
• Claudia Diaz-Salvat, BCBA
• Abigail Diaz
• Aidan C Diaz
• Ana Silvia Diaz
• Ashley Diaz

• Speech-Language Pathologist in Davie, FL
• Providers in Davie, 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 Sep 8, 2021; 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.