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NPI Code Detail

MEDICARE: MARYELIS NAVARRO MEDINA SLP

MEDICARE:   MARYELIS  NAVARRO MEDINA  SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSZ11128FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265144851
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARYELIS NAVARRO MEDINA SLP
Provider Business Mailing Address
First Line : 14253 SW 148TH PL
Second Line :
City : MIAMI
State : FL
Zip : 33196-5030
Country : US
Telephone Number : 786-712-5307
Fax Number :
Provider Business Practice Location Address
First Line : 5470 W 16TH AVE
Second Line :
City : HIALEAH
State : FL
Zip : 33012-2105
Country : US
Telephone Number : 786-712-5307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2022
Last Update Date : 12/15/2022

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Directions to “ MARYELIS NAVARRO MEDINA SLP” Practice Location

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