MEDICARE: MIAMI SPEECH INSTITUTE, LLC

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
2	261Q00000X	Clinic/Center

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	:	1427329481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIAMI SPEECH INSTITUTE, LLC

Provider Business Mailing Address
First Line	:	717 PONCE DE LEON BLVD STE 305A
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2070
Country	:	US
Telephone Number	:	786-541-7289
Fax Number	:	786-502-2146

Provider Business Practice Location Address
First Line	:	717 PONCE DE LEON BLVD STE 305A
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33134-2070
Country	:	US
Telephone Number	:	786-541-7289
Fax Number	:	786-502-2146

Authorized Official
Title or Position	:	BILINGUAL SPEECH LANGUAGE PATHOLOGY
Name	:	PATRICIA RUIZ
Credential	:	MS, CCC-SLP
Telephone Number	:	786-541-7289

Provider Enumeration Date	:	01/23/2012
Last Update Date	:	09/25/2025

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Directions to “MIAMI SPEECH INSTITUTE, LLC ” Practice Location

Language	Start Address	Practice Location

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