Individual provider Active NPI

Enmanuel Alejandro Iglesias

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1841773546
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ8805 Issued in FL
Practice address
Thera-Pro Care ,LLC 888 NW 27 Avenue
Suite 5
Miami, FL 33125
Phone
(786) 431-1133
Fax
(786) 431-1287
NPI assigned
Sep 10, 2018
Last updated
Sep 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ8805 FL Primary

Addresses

Primary practice location

Thera-Pro Care ,LLC 888 NW 27 Avenue
Suite 5
Miami, FL 33125

Mailing address

888 NW 27TH Ave Ste 5
Miami, FL 33125-3000
Phone (786) 431-1133

Other practice location 1

888 NW 27th Ave Ste 5
Miami, FL 33125-3000
Phone (786) 431-1133

Other practice location 2

Thera-Pro Care, Llc
888 nw 27 ave suite 5
miami, FL 33125
Phone (786) 431-1133

Other identifiers 1

IdentifierTypeStateIssuer
SZ8805MedicaidFL

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
SZ8805FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1841773546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 NW 27TH AVE STE 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331253000",
            "telephone_number": "786-431-1133",
            "fax_number": "786-431-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THERA-PRO CARE ,LLC 888 NW 27 AVENUE",
            "address_2": "SUITE 5",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33125",
            "telephone_number": "786-431-1133",
            "fax_number": "786-431-1287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 NW 27th Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331253000",
            "country_code": "US",
            "telephone_number": "786-431-1133",
            "fax_number": "786-431-1287",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Thera-Pro Care, Llc",
            "address_2": "888 nw 27 ave suite 5",
            "address_purpose": "LOCATION",
            "city": "miami",
            "state": "FL",
            "postal_code": "33125",
            "country_code": "US",
            "telephone_number": "786-431-1133",
            "fax_number": "786-431-1287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "ENMANUEL",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ8805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SZ8805",
            "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 Sep 10, 2018; 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.