MEDICARE: YAIMARIE SAEZ MS, 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	SZ126465	FL
2	2355S0801X	Speech-Language Assistant	SI2646	FL

General Provider Information

NPI Number	:	1407223092
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAIMARIE SAEZ MS, SLP

Provider Business Mailing Address
First Line	:	12060 SW 129TH CT STE 107
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4582
Country	:	US
Telephone Number	:	305-378-5247
Fax Number	:

Provider Business Practice Location Address
First Line	:	12060 SW 129TH CT STE 107
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4582
Country	:	US
Telephone Number	:	305-378-5247
Fax Number	:

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

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	01/13/2025

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