Provider Demographics
NPI:1316836638
Name:NEIRA, MARIO ALEJANDRO (SLPA)
Entity type:Individual
Prefix:
First Name:MARIO
Middle Name:ALEJANDRO
Last Name:NEIRA
Suffix:
Gender:M
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 E PONDE DE LEON BLVD
Mailing Address - Street 2:APT 1002
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134
Mailing Address - Country:US
Mailing Address - Phone:786-527-1966
Mailing Address - Fax:
Practice Address - Street 1:911 E PONDE DE LEON BLVD
Practice Address - Street 2:APT 1002
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33134
Practice Address - Country:US
Practice Address - Phone:786-527-1966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSI68262355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant