Provider Demographics
NPI:1609227347
Name:CABALLERO, MARIA (SLPA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CABALLERO
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9425 SW 72ND ST
Mailing Address - Street 2:SUITE 261
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3251
Mailing Address - Country:US
Mailing Address - Phone:305-271-7343
Mailing Address - Fax:305-271-7949
Practice Address - Street 1:9425 SW 72ND ST
Practice Address - Street 2:SUITE 261
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3251
Practice Address - Country:US
Practice Address - Phone:305-271-7343
Practice Address - Fax:305-271-7949
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI 20782355S0801X
222Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist
No2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant