Organization Active NPI

CMC Pediatric Speech & Language Therapy

  • Speech-Language Pathologist
  • Palmetto Bay, FL
National Provider Identifier
1376982967
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA3769 Issued in FL
Legal business name
CMC PEDIATRIC SPEECH & LANGUAGE THERAPY
Practice address
13601 SW 80TH CT
Palmetto Bay, FL 33158-1137
Phone
(786) 999-9301
Fax
(786) 429-1654
NPI assigned
Jun 18, 2013
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mrs. Carmen M. Cortes, M.A., CCC/SLPNPI 1477977007
Title
President
Phone
(786) 999-9301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA3769 FL Primary

Addresses

Primary practice location

13601 SW 80TH CT
Palmetto Bay, FL 33158-1137

Mailing address

13601 SW 80TH CT
Palmetto Bay, FL 33158-1137
Phone (786) 999-9301

National Provider Directory

National Provider Directory

Locations

9260 Hammocks Blvd
Ste 103
Miami, FL 33196

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1376982967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 SW 80TH CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581137",
            "telephone_number": "786-999-9301",
            "fax_number": "786-429-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 SW 80TH CT",
            "city": "PALMETTO BAY",
            "state": "FL",
            "postal_code": "331581137",
            "telephone_number": "786-999-9301",
            "fax_number": "786-429-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMC PEDIATRIC SPEECH & LANGUAGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-999-9301",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA3769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmetto Bay, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.