Individual provider Active NPI

Ana Maria Dominguez Amargos, SLP

  • Speech-Language Pathologist
  • Hialeah, FL
National Provider Identifier
1609461532
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ9973 Issued in FL
Practice address
5470 W 16TH Ave
Hialeah, FL 33012-2105
Phone
(305) 456-2646
Fax
(305) 967-8442
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ9973 FL Primary

Addresses

Primary practice location

5470 W 16TH Ave
Hialeah, FL 33012-2105

Mailing address

5470 W 16TH Ave
Hialeah, FL 33012-2105
Phone (305) 456-2646

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
SZ9973FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Angel Speech and Therapy Services, Inc. Speech-Language Pathologist CurrentSince Mar 7, 2021 Accepting new patients
Little Words Speech Therapy Corp Current Accepting new patients

Locations

5470 W 16th Ave
Ste 201
Hialeah, FL 33012

5470 W 16th Ave
Hialeah, FL 33012
Phone (305) 456-2646

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1609461532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122105",
            "telephone_number": "305-456-2646",
            "fax_number": "305-967-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 W 16TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330122105",
            "telephone_number": "305-456-2646",
            "fax_number": "305-967-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ AMARGOS",
        "first_name": "ANA MARIA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ9973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.