Active NPI
Mirielys Rodriguez Diaz, SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1417837030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ12943
- Practice address
- 12358 Quail Roost Dr
Miami, FL 33177-4974 - Phone
- (786) 380-8050
- NPI assigned
- Sep 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ12943 | FL | Primary |
Addresses
Primary practice location
12358 Quail Roost Dr
Miami, FL 33177-4974
Mailing address
8366 W 14TH Ave
Hialeah, FL 33014-3454
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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ12943 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLG Rehab Services Corp | Multi-Specialty | Current | Accepting new patients |
Locations
12358 Quail Roost Dr
Miami, FL 33177
Phone (786) 380-8050
Organizations & group practices 1
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": "1756944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756944000000",
"number": "1417837030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8366 W 14TH AVE",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330143454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12358 QUAIL ROOST DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331774974",
"telephone_number": "786-380-8050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ DIAZ",
"first_name": "MIRIELYS",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-04",
"last_updated": "2025-09-04",
"certification_date": "2025-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ12943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.