Active NPI
Mirlleins Perez Gonzalez, MS.- SLP.
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1972896348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 14128
- Practice address
- 9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347 - Phone
- (786) 558-5694
- NPI assigned
- May 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | SA14128 | FL | |
| Speech-Language Pathologist | 235Z00000X | SA 14128 | FL | Primary |
Addresses
Primary practice location
9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347
Mailing address
9290 Hammocks Blvd Ste 401
Miami, FL 33196-1347
Phone (786) 800-4510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013546100 | Medicaid | FL | |
| 010506800 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SA 14128 | FL | MD | Speech-Language Pathologist |
| SA14128 | FL | MD | Early Intervention Provider Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Communication Connection, Inc. | Current | Accepting new patients | |
| Communication Connection, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Locations
9290 Hammocks Blvd
Ste 401
Miami, FL 33196
Phone (786) 558-5694
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.
-
- Behavior Analyst
- Miami, FL
- NPI 1215702857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697846400000",
"number": "1972896348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9290 HAMMOCKS BLVD STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961347",
"telephone_number": "786-800-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9290 HAMMOCKS BLVD STE 401",
"city": "MIAMI",
"state": "FL",
"postal_code": "331961347",
"telephone_number": "786-558-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ GONZALEZ",
"first_name": "MIRLLEINS",
"name_prefix": "Ms.",
"credential": "MS.- SLP.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-18",
"last_updated": "2023-10-21",
"certification_date": "2023-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": "FL",
"license": "SA14128",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 14128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "013546100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010506800",
"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 Oct 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.