Individual provider Active NPI

Maria T. Arechavaleta, MA, CCC-SLP, FSL

  • Speech-Language Pathologist
  • Miami Gardens, FL
National Provider Identifier
1356620611
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA2270 Issued in FL
Practice address
2201 NW 207TH St
Miami Gardens, FL 33056-1684
Phone
(305) 624-1171
NPI assigned
Aug 4, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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 SA2270 FL Primary

Addresses

Primary practice location

2201 NW 207TH St
Miami Gardens, FL 33056-1684

Mailing address

11956 NW 12TH St
Pembroke Pines, FL 33026-3882
Phone (954) 205-2393

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 Arts

State licenses

LicenseStateTypeSpecialty
SA2270FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1312416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1356620611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11956 NW 12TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263882",
            "telephone_number": "954-205-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 NW 207TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330561684",
            "telephone_number": "305-624-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARECHAVALETA",
        "first_name": "MARIA",
        "middle_name": "T.",
        "credential": "MA, CCC-SLP, FSL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-04",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.