David Jose Medina

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SI2574 Issued in FL

Practice address

33 N Krome Ave
Homestead, FL 33030-6014

Phone

(786) 601-2042

NPI assigned

Oct 13, 2017

Sex

Male

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

State licenses

Practice roles

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.

• Arley Therapy Services, LLC

  • Speech-Language Pathologist
  • Homestead, FL
  • NPI 1689811168

  Speech-Language Assistant

  NPD (past)
• Arley Therapy Servises

  • Speech-Language Assistant
  • Homestead, FL
  • NPI 1013302363

  Single Specialty

  NPD (past)
• Cady Therapy Service Inc.

  • Clinic/Center
  • Homestead, FL
  • NPI 1336631563
  NPD (past)

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507852800000",
    "number": "1568973824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2561 SE 11TH CT",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352127",
            "telephone_number": "787-702-8669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N KROME AVE",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330306014",
            "telephone_number": "786-601-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDINA",
        "first_name": "DAVID",
        "middle_name": "JOSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-13",
        "last_updated": "2017-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI2574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paola Elizabeth Medina Castillo, BCABA
• Naylan Medina Cruz, RBT
• Idalis Medina Hondal
• Pedro Didier Medina Llamosa, BCBA
• Dania Medina Maribona
• Dayana Medina
• Jamie Medina
• Javier Medina, PTA
• Magaly Medina, SLP
• Rossio Medina

• Speech-Language Assistant in Homestead, FL
• Providers in Homestead, FL by specialty
• Speech-Language Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2017; 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.