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NPI Code Detail

MEDICARE: MRS. ALEXIS MARIE MELENDEZ-VEGA MA., CCC-SLP

MEDICARE:  MRS. ALEXIS MARIE MELENDEZ-VEGA  MA., CCC-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
1235Z00000XSpeech-Language PathologistSZ6539FL
2235Z00000XSpeech-Language PathologistSA14101FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487932455
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ALEXIS MARIE MELENDEZ-VEGA MA., CCC-SLP
Provider Business Mailing Address
First Line : 5771 W 21ST CT
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2630
Country : US
Telephone Number : 305-776-8783
Fax Number :
Provider Business Practice Location Address
First Line : 5771 W 21ST CT
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2630
Country : US
Telephone Number : 305-776-8783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2011
Last Update Date : 04/06/2021

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Directions to “ MRS. ALEXIS MARIE MELENDEZ-VEGA MA., CCC-SLP” Practice Location

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