MEDICARE: MR. CARLOS NAVAL PEREZ HENRIQUEZ I MS-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
1	235Z00000X	Speech-Language Pathologist	SA 12814	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1386952596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CARLOS NAVAL PEREZ HENRIQUEZ I MS-SLP

Provider Business Mailing Address
First Line	:	12001 SW 128TH CT STE 101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4665
Country	:	US
Telephone Number	:	786-732-6983
Fax Number	:

Provider Business Practice Location Address
First Line	:	12001 SW 128TH CT STE 101
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4665
Country	:	US
Telephone Number	:	786-732-6983
Fax Number	:	305-387-4467

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/22/2010
Last Update Date	:	03/05/2014

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Directions to “ MR. CARLOS NAVAL PEREZ HENRIQUEZ I MS-SLP” Practice Location

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