Individual provider Active NPI

Belkis I Martinez Gutierrez

  • Speech-Language Pathologist
  • Pembroke Pines, FL
National Provider Identifier
1417201203
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA16543 Issued in FL
Practice address
9100 NW 20TH St
Pembroke Pines, FL 33024-3213
Phone
(305) 303-4244
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA16543 FL Primary

Addresses

Primary practice location

9100 NW 20TH St
Pembroke Pines, FL 33024-3213

Mailing address

9100 NW 20TH St
Pembroke Pines, FL 33024-3213

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

State licenses

LicenseStateTypeSpecialty
SA16543FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Learning World LLC CurrentSince Mar 3, 2024 Accepting new patients
Angel Speech and Therapy Services, Inc. Single Specialty PastSince Apr 15, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1417201203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9100 NW 20TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9100 NW 20TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330243213",
            "telephone_number": "305-303-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ GUTIERREZ",
        "first_name": "BELKIS",
        "middle_name": "I",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.