Active NPI
Blanca Gloria Gonzalez-Torres, SLP-A, DT
- Speech-Language Assistant
- Doral, FL
National Provider Identifier
1831279041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SI 1358
- Practice address
- 8491 NW 17TH St Ste 100
Doral, FL 33126-1025 - Phone
- (305) 456-5542
- Fax
- (786) 364-0119
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | FL | ||
| Speech-Language Assistant | 2355S0801X | SI 1358 | FL | Primary |
Addresses
Primary practice location
8491 NW 17TH St Ste 100
Doral, FL 33126-1025
Mailing address
9365 SW 36TH St
Apt. B
Miami, FL 33165-4119
Phone (305) 228-4873
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.kreativekidstherapy.com |
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 |
|---|---|---|---|
| SI 1358 | FL | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Bilingual Speech and Language Disorders, Inc. | 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
- Miami, FL
- NPI 1912976804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617753600000",
"number": "1831279041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9365 SW 36TH ST",
"address_2": "APT. B",
"city": "MIAMI",
"state": "FL",
"postal_code": "331654119",
"telephone_number": "305-228-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8491 NW 17TH ST STE 100",
"city": "DORAL",
"state": "FL",
"postal_code": "331261025",
"telephone_number": "305-456-5542",
"fax_number": "786-364-0119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ-TORRES",
"first_name": "BLANCA",
"middle_name": "GLORIA",
"credential": "SLP-A, DT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2021-04-07",
"certification_date": "2021-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "FL",
"license": "SI 1358",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.kreativekidstherapy.com",
"affiliation": "N",
"address_1": "8600 SW 92nd St",
"address_2": "Suite 204",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331567397",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.