MEDICARE: LILA GISELLE PAREDES VERA

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	019232	NY
2	235Z00000X	Speech-Language Pathologist	12058	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	:	1396049656
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILA GISELLE PAREDES VERA

Provider Business Mailing Address
First Line	:	1723 SW 2ND AVE APT 1202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129-2164
Country	:	US
Telephone Number	:	917-622-5417
Fax Number	:	305-397-1181

Provider Business Practice Location Address
First Line	:	1723 SW 2ND AVE APT 1202
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33129
Country	:	US
Telephone Number	:	917-622-5417
Fax Number	:	305-397-1181

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

Provider Enumeration Date	:	12/30/2010
Last Update Date	:	05/31/2018

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Directions to “ LILA GISELLE PAREDES VERA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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