SOUTH MIAMI LEARNING CENTER

Provider Demographics

• NPI: 1003253337
• Name: SOUTH MIAMI LEARNING CENTER
• Entity Type: Organization
• Organization Name: SOUTH MIAMI LEARNING CENTER
• Authorized Official - Title/Position: CHIEF FINANCIAL AND OPERATIONS OFC
• Authorized Official - Prefix: MR
• Authorized Official - First Name: LUIS
• Authorized Official - Middle Name: ANTONIO
• Authorized Official - Last Name: RIVERA
• Authorized Official - Credentials: MBA
• Authorized Official - Phone: 305-665-4999
• Mailing Address - Street 1: 7800 SW 57TH AVE
• Mailing Address - Street 2: SUITE 228
• Mailing Address - City: SOUTH MIAMI
• Mailing Address - State: FL
• Mailing Address - Zip Code: 33143-5528
• Mailing Address - Country: US
• Mailing Address - Phone: 305-665-4999
• Mailing Address - Fax: 305-665-0332
• Practice Address - Street 1: 7800 SW 57TH AVE
• Practice Address - Street 2: SUITE 228
• Practice Address - City: SOUTH MIAMI
• Practice Address - State: FL
• Practice Address - Zip Code: 33143-5528
• Practice Address - Country: US
• Practice Address - Phone: 305-665-4999
• Practice Address - Fax: 305-665-0332
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-05-28
• Last Update Date: 2013-05-28

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	252Y00000X	Agencies	Early Intervention Provider Agency		Group - Multi-Specialty
No	103K00000X	Behavioral Health & Social Service Providers	Behavior Analyst		Group - Multi-Specialty
No	103TS0200X	Behavioral Health & Social Service Providers	Psychologist	School	Group - Multi-Specialty
No	1041S0200X	Behavioral Health & Social Service Providers	Social Worker	School	Group - Multi-Specialty
No	171M00000X	Other Service Providers	Case Manager/Care Coordinator		Group - Multi-Specialty
No	221700000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Art Therapist		Group - Multi-Specialty
No	222Q00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Developmental Therapist		Group - Multi-Specialty
No	224Z00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapy Assistant		Group - Multi-Specialty
No	2251P0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapist	Pediatrics	Group - Multi-Specialty
No	225200000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Physical Therapy Assistant		Group - Multi-Specialty
No	225A00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Music Therapist		Group - Multi-Specialty
No	225X00000X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist		Group - Multi-Specialty
No	225XP0200X	Respiratory, Developmental, Rehabilitative and Restorative Service Providers	Occupational Therapist	Pediatrics	Group - Multi-Specialty
No	2355S0801X	Speech, Language and Hearing Service Providers	Specialist/Technologist	Speech-Language Assistant	Group - Multi-Specialty
No	235Z00000X	Speech, Language and Hearing Service Providers	Speech-Language Pathologist		Group - Multi-Specialty