MEDICARE: MRS. SADIE VEGA-VELASQUEZ M.S., 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	SZ8482	FL
2	235Z00000X	Speech-Language Pathologist	SA17235	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	:	1447750260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SADIE VEGA-VELASQUEZ M.S., SLP

Provider Business Mailing Address
First Line	:	6756 ORCHID DR
Second Line	:
City	:	MIAMI LAKES
State	:	FL
Zip	:	33014-2645
Country	:	US
Telephone Number	:	305-409-3372
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 NW 12TH AVE
Second Line	:	5065
City	:	MIAMI
State	:	FL
Zip	:	33136
Country	:	US
Telephone Number	:	305-243-5706
Fax Number	:

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

Provider Enumeration Date	:	02/19/2018
Last Update Date	:	09/15/2021

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Directions to “ MRS. SADIE VEGA-VELASQUEZ M.S., SLP” Practice Location

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