Provider Demographics
NPI:1184214025
Name:FILGUEIRAS, MAIGRE (SLP)
Entity Type:Individual
Prefix:
First Name:MAIGRE
Middle Name:
Last Name:FILGUEIRAS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22802 SW 128TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33170-2762
Mailing Address - Country:US
Mailing Address - Phone:786-762-7970
Mailing Address - Fax:
Practice Address - Street 1:1845 NE 8TH ST
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33033-4705
Practice Address - Country:US
Practice Address - Phone:786-410-5839
Practice Address - Fax:786-410-5837
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ9944235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLSZ9944OtherDEPARTMENT OF HEALTH