Active NPI
Mario Alberto Landera
- Speech-Language Pathologist
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ4053
- Practice address
- 1201 NW 16TH St
Audiology Service, Mail Code: 126
Miami, FL 33125-1624 - Phone
- (305) 575-3148
- NPI assigned
- Sep 24, 2006
- Last updated
- Feb 8, 2013
- Sex
- Male
- 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 | SZ4053 | FL | Primary |
Addresses
Primary practice location
1201 NW 16TH St
Audiology Service, Mail Code: 126
Miami, FL 33125-1624
Mailing address
15032 SW 65TH Ter
Miami, FL 33193-2009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SZ4053 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Speech-Language Pathologist | Current | Accepting new patients |
| University of Miami | Past | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1201 NW 16th St
#126
Miami, FL 33125
Phone (305) 575-3148
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- mlandera2113@direct.med.miami.edu
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UMiami Medicine Multi Specialty Services
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
dba UMiami Medicine - Speech language Therapy
- Speech-Language Pathologist
- Miami, FL
- NPI 1457781163
-
dba UMiami Medicine - Sinus and Allergy
- Otolaryngic Allergy Physician
- Miami, FL
- NPI 1386694115
-
dba UMiami Medicine- Pediatric Allergy
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360281600000",
"number": "1942300421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15032 SW 65TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331932009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 NW 16TH ST",
"address_2": "AUDIOLOGY SERVICE, MAIL CODE: 126",
"city": "MIAMI",
"state": "FL",
"postal_code": "331251624",
"telephone_number": "305-575-3148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANDERA",
"first_name": "MARIO",
"middle_name": "ALBERTO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2013-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ4053",
"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 Feb 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.