Carolina Bancora, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ6076 Issued in FL

Practice address

5979 NW 151St St
Suite 208
Miami Lakes, FL 33014-2400

Phone

(305) 362-3300

Fax

(305) 362-0202

NPI assigned

Oct 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1351382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1891049953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST",
            "address_2": "SUITE #208",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142400",
            "telephone_number": "305-362-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 NW 151ST ST",
            "address_2": "SUITE 208",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330142400",
            "telephone_number": "305-362-3300",
            "fax_number": "305-362-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANCORA",
        "first_name": "CAROLINA",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-28",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ6076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Miami Lakes, FL
• Providers in Miami Lakes, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.