Mairim Castilla Ms. CCC-SLP, LLC.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA12311 Issued in FL

Legal business name

MAIRIM CASTILLA MS. CCC-SLP, LLC.

Practice address

14921 SW 69TH St
Miami, FL 33193-1062

Phone

(305) 333-5315

NPI assigned

Oct 8, 2013

Organization subpart

No

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

Authorized official

Name

Mairim Castilla, MS. CCC-SLP

Title

Speech Language Pathologist

Phone

(305) 333-5315

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1457788325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14921 SW 69TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14921 SW 69TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931062",
            "telephone_number": "305-333-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIRIM CASTILLA MS. CCC-SLP, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "CASTILLA",
        "authorized_official_first_name": "MAIRIM",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "305-333-5315",
        "authorized_official_credential": "MS. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.