MEDICARE: ALEXANDRA SOFIA SALAZAR MS.SLP SA13588

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 13588	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	:	1386726867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA SOFIA SALAZAR MS.SLP SA13588

Provider Business Mailing Address
First Line	:	7355 NW 173RD DR APT 101
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33015-8423
Country	:	US
Telephone Number	:	786-486-5184
Fax Number	:	786-391-2963

Provider Business Practice Location Address
First Line	:	9500 NW 77TH AVE
Second Line	:	BAY 3
City	:	MIAMI LAKES
State	:	FL
Zip	:	33016-2530
Country	:	US
Telephone Number	:	786-429-7713
Fax Number	:	786-391-2963

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

Provider Enumeration Date	:	10/20/2006
Last Update Date	:	08/06/2015

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Directions to “ ALEXANDRA SOFIA SALAZAR MS.SLP SA13588” Practice Location

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