Jessica Victoria Carvajal

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11365 Issued in FL

Practice address

12485 SW 137TH Ave Ste 301
Miami, FL 33186-4219

Phone

(786) 512-2057

NPI assigned

Jul 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1740967454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15746 SW 146TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331966730",
            "telephone_number": "786-512-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12485 SW 137TH AVE STE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864219",
            "telephone_number": "786-512-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARVAJAL",
        "first_name": "JESSICA",
        "middle_name": "VICTORIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Carvajal Jr., MPT
• Greicy Carolina Carvajal, B.S.
• Ileana Carvajal
• Irving Nicolas Carvajal, DDS
• Ismaray Carvajal
• Juan Carlos Carvajal
• Kaethy Carvajal, DPT
• Laura Daniela Carvajal
• Maria Carvajal, BCBA
• Marianela Carvajal, APRN

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.