Individual provider Active NPI

Mairelis Suarez Fuentes

  • Speech-Language Assistant
  • Miami, FL
National Provider Identifier
1962210518
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SI7608 Issued in FL
Practice address
1990 SW 27TH Ave
Miami, FL 33145-2547
Phone
(305) 890-9691
NPI assigned
Dec 27, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 2355S0801X SI7608 FL Primary

Addresses

Primary practice location

1990 SW 27TH Ave
Miami, FL 33145-2547

Mailing address

20336 NW 53Rd CT
Miami Gardens, FL 33055-4738
Phone (305) 452-1942

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
SI7608FLMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1735257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1962210518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20336 NW 53RD CT",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330554738",
            "telephone_number": "305-452-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 SW 27TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331452547",
            "telephone_number": "305-890-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ FUENTES",
        "first_name": "MAIRELIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-27",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "FL",
            "license": "SI7608",
            "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 27, 2024; 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.