Active NPI
Annette M Betancourt del Valle
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1831438738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA12498
- Practice address
- 10300 SW 72ND St Ste 358
Miami, FL 33173-3020 - Phone
- (786) 313-3541
- NPI assigned
- Feb 12, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA12498 | FL | Primary |
Addresses
Primary practice location
10300 SW 72ND St Ste 358
Miami, FL 33173-3020
Mailing address
10300 SW 72ND Street
Suite 358
Miami, FL 33173-3029
Phone (786) 553-7032
Other practice location 1
6401 SW 87th Ave
Suite 114
Miami, FL 33173-2500
Phone (305) 934-2689
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008257100 | Medicaid | FL |
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 |
|---|---|---|---|
| SA12498 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Therapy Group LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
10300 SW 72nd St
Ste 358
Miami, FL 33173
Phone (786) 313-3541
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.
-
- Multi-Specialty Clinic/Center
- Miami, FL
- NPI 1619368123
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1831438738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 72ND STREET",
"address_2": "SUITE 358",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733029",
"telephone_number": "786-553-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 358",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733020",
"telephone_number": "786-313-3541"
}
],
"practiceLocations": [
{
"address_1": "6401 SW 87th Ave",
"address_2": "Suite 114",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331732500",
"country_code": "US",
"telephone_number": "305-934-2689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BETANCOURT DEL VALLE",
"first_name": "ANNETTE",
"middle_name": "M",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-12",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA12498",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008257100",
"state": "FL"
}
],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.