Active NPI
Damariz Roman-Collazo, MS SLP
- Speech-Language Pathologist
- San Juan, PR
National Provider Identifier
1447460027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 694
- Practice address
- Cordoba Park
400 Bo Tortugo Apt. 47
San Juan, PR 00926 - Phone
- (787) 648-4163
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 694 | PR | Primary |
Addresses
Primary practice location
Cordoba Park
400 Bo Tortugo Apt. 47
San Juan, PR 00926
Mailing address
Cordoba Park
400 Bo Tortugo Apt. 47
San Juan, PR 00926
Phone (787) 648-4163
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avance: Clinica de Servicios Relacionados a la Salud, CSP | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Hato Rey, PR
- NPI 1043441843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447460027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CORDOBA PARK",
"address_2": "400 BO TORTUGO APT. 47",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-648-4163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CORDOBA PARK",
"address_2": "400 BO TORTUGO APT. 47",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-648-4163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROMAN-COLLAZO",
"first_name": "DAMARIZ",
"credential": "MS SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.