Active NPI
Victoria Guzman, M.S. CCC-SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1699836049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 2936
- Practice address
- 12448 SW 127TH Ave
Miami, FL 33186-6596 - Phone
- (305) 255-5980
- Fax
- (305) 255-9766
- NPI assigned
- Dec 12, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA2936 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA 2936 | FL | Primary |
Addresses
Primary practice location
12448 SW 127TH Ave
Miami, FL 33186-6596
Mailing address
12448 SW 127TH Ave
Miami, FL 33186-6596
Phone (305) 255-5980
Other practice location 1
12494 SW 127th Ave
Suite 102
Miami, FL 33186-6597
Phone (305) 279-8070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886589200 | Medicaid | FL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA 2936 | FL | MD | Speech-Language Pathologist |
| SA2936 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553040000000",
"number": "1699836049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12448 SW 127TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866596",
"telephone_number": "305-255-5980",
"fax_number": "305-255-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12448 SW 127TH AVE",
"city": "MIAMI",
"state": "FL",
"postal_code": "331866596",
"telephone_number": "305-255-5980",
"fax_number": "305-255-9766"
}
],
"practiceLocations": [
{
"address_1": "12494 SW 127th Ave",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331866597",
"country_code": "US",
"telephone_number": "305-279-8070",
"fax_number": "305-279-0828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUZMAN",
"first_name": "VICTORIA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2019-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA2936",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 2936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886589200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.