Individual provider Active NPI

Luis Ricardo Morales, M.S. CCC/SLP

  • Speech-Language Pathologist
  • Virginia Gardens, FL
National Provider Identifier
1255621355
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA11215 Issued in FL
Practice address
6120 NW 39TH St
Virginia Gardens, FL 33166-7013
Phone
(305) 492-2740
NPI assigned
Apr 11, 2011
Last updated
Feb 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA11215 FL Primary

Addresses

Primary practice location

6120 NW 39TH St
Virginia Gardens, FL 33166-7013

Mailing address

6120 NW 39TH St
Virginia Gardens, FL 33166-7013
Phone (305) 492-2740

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
SA11215FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1255621355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 NW 39TH ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667013",
            "telephone_number": "305-492-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 NW 39TH ST",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667013",
            "telephone_number": "305-492-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "LUIS",
        "middle_name": "RICARDO",
        "name_prefix": "Mr.",
        "credential": "M.S. CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA11215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; 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.