Ernesto Diaz Olivera, MSC CCC SLP | |
8491 Nw 17th St Ste 113, Doral, FL 33126-1025 | |
(305) 456-5542 | |
(305) 456-8779 |
Full Name | Ernesto Diaz Olivera |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 8491 Nw 17th St Ste 113, Doral, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942433008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 15401 (Florida) | Primary |
Provider Name | Kreative Kids Therapy Center Co |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1134563075 PECOS PAC ID: 5193059392 Enrollment ID: O20190621000888 |
Mailing Address | Practice Location Address |
---|---|
Ernesto Diaz Olivera, MSC CCC SLP 1109 Sw 85th Ct, Miami, FL 33144-4063 Ph: (786) 728-0141 | Ernesto Diaz Olivera, MSC CCC SLP 8491 Nw 17th St Ste 113, Doral, FL 33126-1025 Ph: (305) 456-5542 |
Angelica Herrera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8491 Nw 17th St, Doral, FL 33126 Phone: 305-456-5542 | |
Meraki Wellness & Healing Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 7950 Nw 53rd St Ste 237, Doral, FL 33166 Phone: 786-464-0063 | |
Sarah Waters, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10200 Nw 25th St # A-108, Doral, FL 33172 Phone: 786-717-5649 | |
Edward Gelbinovich, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10200 Nw 25th St Ste A-108, Doral, FL 33172 Phone: 786-717-5649 | |
Isabel Melendez, MS., CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3625 Nw 82nd Ave Ste 400, Doral, FL 33166 Phone: 786-763-0480 Fax: 786-206-3476 | |
Theodore Abrahams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 10200 Nw 25th St # A-108, Doral, FL 33172 Phone: 786-717-5649 | |
Cristina Marie Delcastillo, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8491 Nw 17th St Ste 100, Doral, FL 33126 Phone: 305-456-5542 |