Individual provider Active NPI

Maricel Vazquez-Guerra, SPEECH AND LANGUAGE

  • Speech-Language Pathologist
  • Miami Lakes, FL
National Provider Identifier
1811314875
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA14643 Issued in FL
Practice address
15291 NW 60TH Ave
Suite 100
Miami Lakes, FL 33014
Phone
(305) 549-8876
Fax
(305) 549-8877
NPI assigned
Mar 27, 2014
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SA14643 FL
Speech-Language Pathologist 235Z00000X SA14643 FL Primary

Addresses

Primary practice location

15291 NW 60TH Ave
Suite 100
Miami Lakes, FL 33014

Mailing address

900 W 49TH St Ste 332
Hialeah, FL 33012-3489
Phone (305) 556-0121

Other names 1

  • Maricel Vazquez 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

State licenses

LicenseStateTypeSpecialty
SA14643FLMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Renascence Therapy Center, Inc Speech-Language Pathologist PastSince Sep 8, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1811314875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 332",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123489",
            "telephone_number": "305-556-0121",
            "fax_number": "305-556-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15291 NW 60TH AVE",
            "address_2": "SUITE 100",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "33014",
            "telephone_number": "305-549-8876",
            "fax_number": "305-549-8877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ-GUERRA",
        "first_name": "MARICEL",
        "credential": "SPEECH AND LANGUAGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SA14643",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARICEL",
            "last_name": "VAZQUEZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Miami Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.