Active NPI
Jessica Burgos
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1841530664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ 5881
- Practice address
- 10300 SW 72ND St
Suite 425
Miami, FL 33173-3012 - Phone
- (786) 502-4563
- Fax
- (305) 503-7558
- NPI assigned
- Feb 15, 2013
- 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 | SZ 5881 | FL | Primary |
Addresses
Primary practice location
10300 SW 72ND St
Suite 425
Miami, FL 33173-3012
Mailing address
10300 SW 72ND St
Suite 425
Miami, FL 33173-3012
Phone (786) 502-4563
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 |
|---|---|---|---|
| SZ 5881 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1841530664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST",
"address_2": "SUITE 425",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733012",
"telephone_number": "786-502-4563",
"fax_number": "305-503-7558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST",
"address_2": "SUITE 425",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733012",
"telephone_number": "786-502-4563",
"fax_number": "305-503-7558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURGOS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-15",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ 5881",
"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 Dec 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.