Marianela Medina

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11061 Issued in FL

Practice address

900 W 49TH St Ste 332
Hialeah, FL 33012-3489

Phone

(786) 786-5305

Fax

(786) 789-5315

NPI assigned

Oct 4, 2019

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Exceptional Speech Therapy

  • Behavior Analyst
  • Doral, FL
  • NPI 1740857259
  NPD (past)
• Exceptional Speech Therapy

  • Clinic/Center
  • Doral, FL
  • NPI 1821420704

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1326689886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 332",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123489",
            "telephone_number": "786-786-5305",
            "fax_number": "786-789-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 332",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123489",
            "telephone_number": "786-786-5305",
            "fax_number": "786-789-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "MARIANELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erick Alejandro Medina
• Jani Medina, M.S., CF-SLP
• Maibel Medina
• Maria Medina
• Maria Rachel Medina
• Mayrel Medina
• Nancy M Medina
• Nedda Medina
• Niurka Medina, SLP
• Onel Medina

• Speech-Language Pathologist in Hialeah, FL
• Providers in Hialeah, 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 Jan 23, 2023; 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.