Individual provider Active NPI

Gabriela Martinez

  • Speech-Language Assistant
  • Doral, FL
National Provider Identifier
1619326592
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI4251 Issued in FL
Practice address
10200 NW 25TH St # a-108
Doral, FL 33172-5921
Phone
(786) 717-5649
Fax
(786) 717-5754
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI4251 FL Primary

Addresses

Primary practice location

10200 NW 25TH St # a-108
Doral, FL 33172-5921

Mailing address

10200 NW 25TH St # a-108
Doral, FL 33172-5921
Phone (786) 717-5649

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
SI4251FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Exceptional Speech Therapy Behavior Analyst CurrentSince Jun 6, 2021 Accepting new patients
Exceptional Speech Therapy CurrentSince Mar 21, 2021 Accepting new patients
Abc Behavior Development Behavior Analyst Past Accepting new patients

Locations

10200 NW 25th St
Ste 108A
Doral, FL 33172
Phone (786) 717-5649

Organizations & group practices 3

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": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1619326592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST # A-108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-717-5649",
            "fax_number": "786-717-5754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 NW 25TH ST # A-108",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331725921",
            "telephone_number": "786-717-5649",
            "fax_number": "786-717-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "GABRIELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI4251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.