Healthcare Provider Details

I. General information

NPI: 1134044043
Provider Name (Legal Business Name): LORENA ANDARCIO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15535 SW 120TH ST STE 12
MIAMI FL
33196-6216
US

IV. Provider business mailing address

22155 SW 133RD AVE
MIAMI FL
33170-4310
US

V. Phone/Fax

Practice location:
  • Phone: 786-445-2848
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSZ13515
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: