Sandra Paola Vanegas Pedraza

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA23305 Issued in FL

Practice address

1842 Waggoner St
Kindred, FL 34744-6846

Phone

(347) 216-9008

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in FL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Mirben Speech Language Company LLC

  dba Mirben Therapy

  • Speech-Language Pathologist
  • Orlando, FL
  • NPI 1912408436
  Medicare reassignment NPD

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1245627728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 WAGGONER ST",
            "city": "KINDRED",
            "state": "FL",
            "postal_code": "347446846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 WAGGONER ST",
            "city": "KINDRED",
            "state": "FL",
            "postal_code": "347446846",
            "telephone_number": "347-216-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANEGAS PEDRAZA",
        "first_name": "SANDRA",
        "middle_name": "PAOLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "022978",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA23305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Llanes de Arellano
• Marienelli Lopez, RN
• Christopher Jacob Maquivar
• Ailin Milian Guilarte
• Roberto Santos
• Karen Olimar Varela Teran
• Vitalcare Training & Solutions

• Speech-Language Pathologist in Kindred, FL
• Providers in Kindred, 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 Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.