Individual provider Active NPI

Victoria Guzman, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1699836049
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 2936 Issued in FL
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

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
886589200MedicaidFL

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

LicenseStateTypeSpecialty
SA 2936FLMDSpeech-Language Pathologist
SA2936FLMDSpeech-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.

Verify at the official NPI Registry.