Ivelisse Hernandez-Obeso, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA9639 Issued in FL

Practice address

7100 SW 99TH Ave
Suite 201
Miami, FL 33173-4667

Phone

(305) 491-1032

NPI assigned

Sep 5, 2008

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1386892123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15532 SW 142ND CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771044",
            "telephone_number": "305-238-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 SW 99TH AVE",
            "address_2": "SUITE 201",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331734667",
            "telephone_number": "305-491-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-OBESO",
        "first_name": "IVELISSE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA9639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aimee Hernandez-Cruz, LMFT, LMHC
• Jose P. Hernandez-Gala, M.D.
• Annellys Hernandez-Garcia, M.D.
• Yusely Hernandez-Iglesias, APRN
• Davmary Hernandez-Jorcano, ARNP
• Vivian Hernandez-Popp, M.D,
• Ana Maria Hernandez-Puga, MD
• Pedro Jorge Hernandez-Rios, MD
• Delia Maria Hernandez-Rivero, OTR/CHT
• Otto Michel Hernandez-Romero, BS

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, 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 Sep 5, 2008; 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.