Healthcare Provider Details

I. General information

NPI: 1932723657
Provider Name (Legal Business Name): LEIRYS RAMIREZ M.A. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2020
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 W 50TH ST
HIALEAH FL
33012-3440
US

IV. Provider business mailing address

19841 NW 52ND CT
MIAMI GARDENS FL
33055-1646
US

V. Phone/Fax

Practice location:
  • Phone: 305-231-3371
  • Fax:
Mailing address:
  • Phone: 786-316-5030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ11725
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: