MEDICARE: MS. ELAINE PINILLOS-ANGULO M.S. 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
1	235Z00000X	Speech-Language Pathologist	SA15409	FL
2	235Z00000X	Speech-Language Pathologist	SZ 7279	FL

General Provider Information

NPI Number	:	1730547324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ELAINE PINILLOS-ANGULO M.S. CCC-SLP

Provider Business Mailing Address
First Line	:	1450 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-1308
Country	:	US
Telephone Number	:	305-995-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	1450 NE 2ND AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33132-1308
Country	:	US
Telephone Number	:	305-995-1000
Fax Number	:

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

Provider Enumeration Date	:	02/10/2016
Last Update Date	:	06/28/2023

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Directions to “ MS. ELAINE PINILLOS-ANGULO M.S. CCC-SLP” Practice Location

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