Individual provider Active NPI

Andrea Cristina Delgado, MS, CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1760883128
Registry record updated Aug 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA13887 Issued in FL
Practice address
14291 SW 120TH St
Suite #103
Miami, FL 33186
Phone
(305) 385-0168
Fax
(305) 385-0182
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2018

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 SA13887 FL Primary

Addresses

Primary practice location

14291 SW 120TH St
Suite #103
Miami, FL 33186

Mailing address

14291 SW 120TH St
Suite #103
Miami, FL 33186-7286
Phone (305) 385-0168

Other identifiers 1

IdentifierTypeStateIssuer
013100600MedicaidFL

Other names 1

  • Andrea Cristina Blanco Former name

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
SA13887FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adm Therapy Services Inc Speech-Language Pathologist Current Accepting new patients
B & V Thera Pro Associates Corp Speech-Language Pathologist PastSince Dec 3, 2009 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": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535155200000",
    "number": "1760883128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14291 SW 120TH ST",
            "address_2": "SUITE #103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331867286",
            "telephone_number": "305-385-0168",
            "fax_number": "305-385-0182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14291 SW 120TH ST",
            "address_2": "SUITE #103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33186",
            "telephone_number": "305-385-0168",
            "fax_number": "305-385-0182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO",
        "first_name": "ANDREA",
        "middle_name": "CRISTINA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2018-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA13887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013100600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "BLANCO",
            "middle_name": "CRISTINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 25, 2018; 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.