Individual provider Active NPI

Raiza Simon, M.S. ED., C.C.C.

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1265589170
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 8767 Issued in FL
Practice address
8510 SW 8TH St
Miami, FL 33144-4053
Phone
(305) 266-5353
Fax
(305) 266-6550
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SA 8767 FL Primary

Addresses

Primary practice location

8510 SW 8TH St
Miami, FL 33144-4053

Mailing address

16400 SW 95TH St
Miami, FL 33196-1060
Phone (305) 299-9391

Other names 1

  • Ms. Raiza Angulo Former name

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
SA 8767FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1265589170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 SW 95TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331961060",
            "telephone_number": "305-299-9391",
            "fax_number": "305-266-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 SW 8TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331444053",
            "telephone_number": "305-266-5353",
            "fax_number": "305-266-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "RAIZA",
        "name_prefix": "Mrs.",
        "credential": "M.S. ED., C.C.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 8767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAIZA",
            "last_name": "ANGULO",
            "prefix": "MS.",
            "credential": "M.S. ED.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.