Individual provider Active NPI

Alexis Estenoz Cabrera

  • Speech-Language Assistant
  • Virginia Gardens, FL
National Provider Identifier
1790513166
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI7170 Issued in FL
Practice address
6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977
Phone
(305) 856-1999
Fax
(305) 856-7600
NPI assigned
Jul 25, 2024
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SI7170 FL Primary

Addresses

Primary practice location

6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977

Mailing address

6405 NW 36TH St Ste 105
Virginia Gardens, FL 33166-6977
Phone (305) 856-1999

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
SI7170FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1790513166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 105",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977",
            "telephone_number": "305-856-1999",
            "fax_number": "305-856-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 NW 36TH ST STE 105",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331666977",
            "telephone_number": "305-856-1999",
            "fax_number": "305-856-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTENOZ CABRERA",
        "first_name": "ALEXIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.