Active NPI
Cristina Isabel Garcia Costas
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1811759095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11779
- Practice address
- 10000 SW 56TH St Ste 10
Miami, FL 33165-7161 - Phone
- (786) 638-2634
- NPI assigned
- Jan 24, 2024
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11779 | FL | Primary |
Addresses
Primary practice location
10000 SW 56TH St Ste 10
Miami, FL 33165-7161
Mailing address
9931 W Flagler St Apt 514
Miami, FL 33174-1866
Phone (787) 486-0033
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11779 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706054400000",
"number": "1811759095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9931 W FLAGLER ST APT 514",
"city": "MIAMI",
"state": "FL",
"postal_code": "331741866",
"telephone_number": "787-486-0033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 SW 56TH ST STE 10",
"city": "MIAMI",
"state": "FL",
"postal_code": "331657161",
"telephone_number": "786-638-2634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA COSTAS",
"first_name": "CRISTINA",
"middle_name": "ISABEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-24",
"last_updated": "2024-01-24",
"certification_date": "2024-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "11779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 24, 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.