Active NPI
Tatiana Patricia Manrique
- Speech-Language Assistant
- Weston, FL
National Provider Identifier
1245381284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI1147
- Practice address
- 1605 Town Center Cir Ste a
Weston, FL 33326-3637 - Phone
- (954) 385-3456
- NPI assigned
- Jan 16, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 | SI1147 | FL | Primary |
Addresses
Primary practice location
1605 Town Center Cir Ste a
Weston, FL 33326-3637
Mailing address
7220 NW 114TH Ave Apt 211
Doral, FL 33178-5564
Phone (305) 513-4048
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 |
|---|---|---|---|
| SI1147 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fitness & Wellness Works, LLC. | Past | Accepting new patients | |
| Bilingual Therapy Associates, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Weston, FL
- NPI 1912029299
-
- Speech-Language Pathologist
- Weston, FL
- NPI 1669610796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245381284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7220 NW 114TH AVE APT 211",
"city": "DORAL",
"state": "FL",
"postal_code": "331785564",
"telephone_number": "305-513-4048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 TOWN CENTER CIR STE A",
"city": "WESTON",
"state": "FL",
"postal_code": "333263637",
"telephone_number": "954-385-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANRIQUE",
"first_name": "TATIANA",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI1147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.