Individual provider Active NPI

Adalys Iglesias Rivera, M.S CCC-SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1932531605
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA17805 Issued in FL
Practice address
1301 SW 138TH CT
Miami, FL 33184
Phone
(305) 873-9589
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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 SA17805 FL Primary

Addresses

Primary practice location

1301 SW 138TH CT
Miami, FL 33184

Mailing address

1301 SW 138TH CT
Miami, FL 33184-2761
Phone (305) 873-9589

Other practice location 1

7800 W Oakland Park Blvd Ste 107
Sunrise, FL 33351-1121
Phone (305) 873-9589

Other practice location 2

11674 NW 89th Ave
Hialeah Gardens, FL 33018-4110
Phone (305) 873-9589

Other practice location 3

11674 NW 89th Ave
Hialeah Gardens, FL 33018-4110
Phone (305) 873-9589

Other names 1

  • Miss Adalys Iglesias Other name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA17805FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Therapy Miami LLC Speech-Language Pathologist CurrentSince Mar 1, 2020 Accepting new patients
Speech Therapy of Miami LLC Speech-Language Pathologist CurrentSince Mar 6, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1932531605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SW 138TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331842761",
            "telephone_number": "305-873-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SW 138TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33184",
            "telephone_number": "305-873-9589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7800 W Oakland Park Blvd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Sunrise",
            "state": "FL",
            "postal_code": "333511121",
            "country_code": "US",
            "telephone_number": "305-873-9589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11674 NW 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330184110",
            "country_code": "US",
            "telephone_number": "305-873-9589",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11674 NW 89th Ave",
            "address_purpose": "LOCATION",
            "city": "Hialeah Gardens",
            "state": "FL",
            "postal_code": "330184110",
            "country_code": "US",
            "telephone_number": "305-873-9589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IGLESIAS RIVERA",
        "first_name": "ADALYS",
        "name_prefix": "Miss",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA17805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADALYS",
            "last_name": "IGLESIAS",
            "prefix": "MISS",
            "credential": "M.S CCC-SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 26, 2020; 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.