Individual provider Active NPI

Maryuri Enid Lopez Santana, MA

  • Hearing and Speech Clinic/Center
  • Orlando, FL
National Provider Identifier
1811260748
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
35884 Issued in TX
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

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.