CRYSTAL DOMENECH


Address: Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186
Phone: 7864293619

CRYSTAL DOMENECH (NPI# 1548819949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548819949
Entity Type Individual
Full Name CRYSTAL DOMENECH
Credential SLP
Practice Address Stars Center for Speech Therapy & Related Services LLC
12030 Sw 129th Ct #209
Miami
FL 33186
Mailing Address 11241 Sw 129th Ct
Miami
FL 33186-4764
Practice Telephone 7864293619
Mailing Telephone 3055195026
Enumeration Date 2019-09-09
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0700X Clinic/Center
Specialization: Hearing and Speech
SA18394 FL Ambulatory Health Care Facilities
N 390200000X Student in an Organized Health Care Education/Training Program SZ9327 FL Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
3100 Campbell Dr, Homestead, FL 330335574 3052470446

Office Location

Street Address STARS CENTER FOR SPEECH THERAPY & RELATED SERVICES LLC
12030 SW 129TH CT #209
City MIAMI
State FL
Zip Code 33186

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962010934 West Kendall Medical LLC Durable Medical Equipment & Medical Supplies 13805 Sw 128th St Ste 201b, Miami, FL 33186 2020-07-16
1902446040 Claudia Alfonso Behavior Technician 13838 Sw 139 Ct, Miami, FL 33186 2020-01-07
1740825256 West Kendall Baptist Hospital Inc Non-Pharmacy Dispensing Site 14150 Sw 136 Street, Miami, FL 33186 2019-11-08
1114561768 Jami Ferrare Nurse Practitioner 9862 Sw 118th Ave, Miami, FL 33186 2019-11-06
1659913473 Lissette Blanco Behavior Technician 9120 Sw 143 Ave, Miami, FL 33186 2019-10-14
1780243931 Amore Mental Health Corp. Case Management 14221 Sw 120 Street, Suite 109, Miami, FL 33186 2019-06-11
1639631047 Dynasty Mental Health, Inc Clinic/Center 13590 Sw 134th Ave Ste 203, Miami, FL 33186 2019-04-03
1922575133 University Health Care West Kendall, Inc. Clinic/Center 13611 Sw 131 Street, Miami, FL 33186 2018-10-25
1245705904 Lamberto Hernandez Registered Nurse 12604 Sw 119th Path, Miami, FL 33186 2018-10-09
1154804151 Maaria Syed Occupational Therapist 13155 Sw 134th Street Unit 220, Miami, FL 33186 2018-09-14
Find all providers in zip 33186

Taxonomy Information

Taxonomy Code 261QH0700X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Hearing and Speech

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1831686278 Goals N Soul Inc Clinic/Center 50 Sw 10th St Apt 1526, Miami, FL 33130-4128 2018-04-20
1710351887 Miami Speech & Swallowing Center, Inc. Clinic/Center 11890 Sw 8th St Ste 514, Miami, FL 33184-1701 2015-11-30
1922266170 Speech Pathology and Educational Centerinc Clinic/Center 8590 Sw 40th St, Miami, FL 33155-3214 2008-05-23
1720573868 Community Speech Therapy, Inc Clinic/Center 12380 Sw 219th St, Miami, FL 33170-2850 2018-06-29
1235676644 Silver Tongue Therapy Inc Clinic/Center 10841 Sw 89th St, Miami, FL 33176-1366 2017-01-23
1669915187 Hope Health Therapy Clinic/Center 225 Ne 23rd St Apt 1107, Miami, FL 33137-4037 2016-12-01
1053705749 Hearing and Speech Center of Florida Clinic/Center 9425 Sw 72nd St, Suite 261, Miami, FL 33173-3251 2015-03-20
1851738249 Speech and Language Pediatric Therapy,inc Clinic/Center 12001 Sw 128th Ct Ste 101, Miami, FL 33186-4665 2013-05-27
1679648844 Public Health Trust of Miami Dade County Florida Clinic/Center 1695 Nw 9th Ave, Miami, FL 33136-1409 2006-11-22
1366514705 Public Health Trust of Miami Dade County Florida Clinic/Center 1695 Nw 9th Ave, Miami, FL 33136-1409 2006-11-14
Find all providers in MIAMI

Competitor

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City MIAMI
Zip Code 33186

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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