Individual provider Active NPI

Elaine Pinillos-Angulo, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1730547324
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA15409 Issued in FL
Practice address
1450 NE 2ND Ave
Miami, FL 33132-1308
Phone
(305) 995-1000
NPI assigned
Feb 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 SA15409 FL Primary
Speech-Language Pathologist 235Z00000X SZ 7279 FL

Addresses

Primary practice location

1450 NE 2ND Ave
Miami, FL 33132-1308

Mailing address

1450 NE 2ND Ave
Miami, FL 33132-1308
Phone (305) 995-1000

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
SA15409FLMDSpeech-Language Pathologist
SZ 7279FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cora Health Services Inc Past Accepting new patients
Cora Health Services, Inc Past Accepting new patients

Organizations & group practices 2

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": "1455062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1730547324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321308",
            "telephone_number": "305-995-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331321308",
            "telephone_number": "305-995-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINILLOS-ANGULO",
        "first_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-10",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA15409",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ 7279",
            "primary": false
        }
    ],
    "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 Jun 28, 2023; 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.