CRYSTAL DOMENECH (NPI# 1548819949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
3100 Campbell Dr, Homestead, FL 330335574 | 3052470446 |
Street Address |
STARS CENTER FOR SPEECH THERAPY & RELATED SERVICES LLC 12030 SW 129TH CT #209 |
City | MIAMI |
State | FL |
Zip Code | 33186 |
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 Code | 261QH0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Hearing and Speech |
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] |
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 |
Please comment or provide details below to improve the information on CRYSTAL DOMENECH.
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.