Roxanna Collazo Santiago
Individual provider Active NPI Speech-Language Pathologist · Corozal, PR
NPI 1275295487 · NPPES record last updated Feb 8, 2024
Key facts
- NPI
- 1275295487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 4172 (PR)
- Practice address
- Carretera 159
Bo Cibuco
Corozal, PR 00783 - Phone
- (787) 481-3783
- NPI assigned
- Oct 6, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220103002017 | PR | Practitioner - Qualified Speech Language Pathologist | 0042601908 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4172 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Hearing Center Inc | Speech-Language Pathologist | Current |
Accepting new patients |
| Jireh Therapy Center | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 4172 | PR | Yes |
Addresses
Primary practice location
Carretera 159
Bo Cibuco
Corozal, PR 00783
Mailing address
PO Box 463
Corozal, PR 00783-0463
Phone (787) 481-3783
Other providers in Corozal, PR
- Centro Med Experience Inc
- Centro Radiologico Sonografico Corozal
- Centro Radiologico Sonografico Digital de Corozal
- Centro Visual de Corozal
- Annely Marie Cintron Perez
- Vanessa Kristal Colon Lozada
- Carmen E Colon
- Eliezer Colon
- Yadira Sostre Colon
- Greysh Marie Cordova
All providers in Corozal, PR · Speech-Language Pathologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.