Provider Demographics
NPI:1295614782
Name:PACHECO, MARIA (MS CSY SLP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:PACHECO
Suffix:
Gender:F
Credentials:MS CSY SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 ALTARA AVE APT 512
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1465
Mailing Address - Country:US
Mailing Address - Phone:786-208-9169
Mailing Address - Fax:
Practice Address - Street 1:17670 NW 78TH AVE STE 206
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3670
Practice Address - Country:US
Practice Address - Phone:305-440-0785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist