Individual provider Active NPI

Betssica Marie Martinez Santiago

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1710315510
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ5757 Issued in FL
Practice address
14750 SW 26TH St
209
Miami, FL 33185-5933
Phone
(305) 364-5533
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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 SZ5757 FL Primary

Addresses

Primary practice location

14750 SW 26TH St
209
Miami, FL 33185-5933

Mailing address

2610 NE 3Rd Dr
Unit 103
Homestead, FL 33033-7032
Phone (904) 403-3208

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
SZ5757FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Coamex Therapy Services Speech-Language Pathologist Current Accepting new patients

Organizations & group practices 1

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1710315510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 NE 3RD DR",
            "address_2": "UNIT 103",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337032",
            "telephone_number": "904-403-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14750 SW 26TH ST",
            "address_2": "209",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331855933",
            "telephone_number": "305-364-5533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ SANTIAGO",
        "first_name": "BETSSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5757",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 15, 2013; 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.