Active NPI
Maryuri Enid Lopez Santana, MA
- Hearing and Speech Clinic/Center
- Orlando, FL
National Provider Identifier
1811260748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 35884
- Practice address
- 12021 Pioneers Way Apt 1118
Orlando, FL 32832-2802 - Phone
- (713) 894-1614
- Fax
- (407) 264-6421
- NPI assigned
- Feb 23, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing and Speech Clinic/Center | 261QH0700X | 35884 | TX | Primary |
Addresses
Primary practice location
12021 Pioneers Way Apt 1118
Orlando, FL 32832-2802
Mailing address
12055 Sabo Rd
432
Houston, TX 77089-6282
Phone (832) 208-2051
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mirben Speech Language Company LLC | Hearing and Speech | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1912408436
Hearing and Speech
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1329955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1811260748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12055 SABO RD",
"address_2": "432",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896282",
"telephone_number": "832-208-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12021 PIONEERS WAY APT 1118",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328322802",
"telephone_number": "713-894-1614",
"fax_number": "407-264-6421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOPEZ SANTANA",
"first_name": "MARYURI",
"middle_name": "ENID",
"name_prefix": "Miss",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-23",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, Hearing and Speech",
"state": "TX",
"license": "35884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.