Individual provider Active NPI

Ivelisse Collazo-Donato, M.S.SLP

  • Speech-Language Pathologist
  • Yabucoa, PR
National Provider Identifier
1316158041
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
544 Issued in PR
Practice address
Valles de Yabucoa
Caoba 323
Yabucoa, PR 00767-3928
Phone
(787) 266-0391
NPI assigned
May 24, 2007
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 544 PR Primary

Addresses

Primary practice location

Valles de Yabucoa
Caoba 323
Yabucoa, PR 00767-3928

Mailing address

Caoba 323
Valles de Yabucoa
Yabucoa, PR 00767-3928
Phone (787) 381-5372

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
544PRMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1316158041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CAOBA 323",
            "address_2": "VALLES DE YABUCOA",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673928",
            "telephone_number": "787-381-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VALLES DE YABUCOA",
            "address_2": "CAOBA 323",
            "city": "YABUCOA",
            "state": "PR",
            "postal_code": "007673928",
            "telephone_number": "787-266-0391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO-DONATO",
        "first_name": "IVELISSE",
        "credential": "M.S.SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yabucoa, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.