Basic Information
Provider Information
NPI: 1922380591
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VELEZ ZAYAS
FirstName: CELIA
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: AUD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8940 N KENDALL DR STE 504E
Address2:  
City: MIAMI
State: FL
PostalCode: 331762150
CountryCode: US
TelephoneNumber: 3055956200
FaxNumber: 3055984071
Practice Location
Address1: 8940 N KENDALL DR STE 504E
Address2:  
City: MIAMI
State: FL
PostalCode: 331762150
CountryCode: US
TelephoneNumber: 3055956200
FaxNumber: 3055984071
Other Information
ProviderEnumerationDate: 09/09/2011
LastUpdateDate: 07/10/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X  N Speech, Language and Hearing Service ProvidersAudiologist 
231H00000XAY1720FLY Speech, Language and Hearing Service ProvidersAudiologist 
231H00000X602PRN Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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