Cynthia Yvette Collazo-Diaz, M.S. SLP
Individual provider Active NPI Speech-Language Pathologist · Canovanas, PR
NPI 1740656776 · NPPES record last updated Oct 31, 2019
Key facts
- NPI
- 1740656776
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 628 (PR)
- Practice address
- 71 Calle Autonomia
Canovanas, PR 00729-3247 - Phone
- (787) 402-5247
- NPI assigned
- Aug 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 628 | PR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grupo Terapeutico del Pilar, GTP, LLC | Speech-Language Pathologist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 628 | PR | Yes |
Addresses
Primary practice location
71 Calle Autonomia
Canovanas, PR 00729-3247
Mailing address
Urb Parque Ecuestre
N4 C/Pisaflores
Carolina, PR 00987-0000
Phone (787) 635-9631
Other practice location 1
Aa8 Calle Bauhinia
Loiza Valley Mall
Canovanas, PR 00729-3435
Phone (787) 696-0777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 628 | Other | PR | STATE LICENSE |
Other providers in Canovanas, PR
- Sebastian Andres Claudio
- Esteban Clemente Morales
- Clinca Dr Lorenzo Riera
- Sabrina Cruz Coll I
- Samuel Collazo Carrasquillo
- Candido Collazo
- Idie Colon Bonilla
- Edwin Alberto Colon Fonseca
- Gloria D Colon Ramos
- Jose Alejandro Colon Rivera
All providers in Canovanas, 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 Oct 31, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.