Individual provider Active NPI

Roxana Marie Velazquez

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1710353784
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15000 Issued in FL
Practice address
10300 SW 72ND St Ste 425
Miami, FL 33173-3029
Phone
(787) 219-2987
NPI assigned
Aug 13, 2015
Last updated
May 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 31, 2017

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 SA15000 FL Primary

Addresses

Primary practice location

10300 SW 72ND St Ste 425
Miami, FL 33173-3029

Mailing address

5077 NW 7TH St Apt 412
Miami, FL 33126-3461
Phone (787) 219-2987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190226001056 FL Practitioner - Qualified Speech Language Pathologist 4082953674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SA15000FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Therapy Works Inc CurrentSince Feb 21, 2019 Accepting new patients

Locations

12060 SW 129th Ct
Ste 107
Miami, FL 33186
Phone (305) 378-5247

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1710353784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5077 NW 7TH ST APT 412",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263461",
            "telephone_number": "787-219-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10300 SW 72ND ST STE 425",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733029",
            "telephone_number": "787-219-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "ROXANA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-13",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15000",
            "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 May 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.