Active NPI
Patricia P Diaz-Portela, SLP
- Speech-Language Pathologist
- Miami, FL
National Provider Identifier
1992469969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SZ10389
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SZ10389 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bio Networks Inc | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Miami, FL
- NPI 1982713897
FL, Speech-Language Pathologist
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.