Active NPI
Claudia Angelica Gamboa
- Speech-Language Assistant
- Miami Lakes, FL
National Provider Identifier
1508740366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI6319
- Practice address
- 15291 NW 60TH Ave Ste 100
Miami Lakes, FL 33014-2459 - Phone
- (305) 549-8876
- Fax
- (305) 549-8877
- NPI assigned
- Aug 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 Assistant | 2355S0801X | SI6319 | FL | Primary |
Addresses
Primary practice location
15291 NW 60TH Ave Ste 100
Miami Lakes, FL 33014-2459
Mailing address
1751 NW 185TH St
Miami Gardens, FL 33056-3306
Phone (786) 835-9464
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 |
|---|---|---|---|
| SI6319 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renascence Therapy Center, Inc | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Miami Lakes, FL
- NPI 1952647539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754265600000",
"number": "1508740366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 NW 185TH ST",
"city": "MIAMI GARDENS",
"state": "FL",
"postal_code": "330563306",
"telephone_number": "786-835-9464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15291 NW 60TH AVE STE 100",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142459",
"telephone_number": "305-549-8876",
"fax_number": "305-549-8877"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBOA",
"first_name": "CLAUDIA",
"middle_name": "ANGELICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-04",
"last_updated": "2025-08-04",
"certification_date": "2025-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI6319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.