Individual provider Active NPI

Patricia P Diaz-Portela, SLP

  • Speech-Language Pathologist
  • Miami, FL
National Provider Identifier
1992469969
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10389 Issued in FL
Practice address
1441 SW 1St Street
Miami, FL 33135-2202
Phone
(305) 541-3400
Fax
(305) 541-3344
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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 SZ10389 FL Primary

Addresses

Primary practice location

1441 SW 1St Street
Miami, FL 33135-2202

Mailing address

1441 SW 1St Street
Miami, FL 33135-2202
Phone (305) 541-3400

Other names 1

  • Patricia Pilar Diaz-Portela Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230531000799 FL Practitioner - Qualified Speech Language Pathologist 1456718899 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SZ10389FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bio Networks Inc Speech-Language Pathologist CurrentSince May 15, 2023 Accepting new patients

Locations

1441 SW 1st St
Miami, FL 33135
Phone (305) 541-3400

Organizations & group practices 1

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": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1992469969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SW 1ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352202",
            "telephone_number": "305-541-3400",
            "fax_number": "305-541-4949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SW 1ST STREET",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352202",
            "telephone_number": "305-541-3400",
            "fax_number": "305-541-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ-PORTELA",
        "first_name": "PATRICIA",
        "middle_name": "P",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "DIAZ-PORTELA",
            "middle_name": "PILAR",
            "credential": "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 Oct 26, 2021; 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.

Verify at the official NPI Registry.