Active NPI
Waleska Collazo, THL
- Speech-Language Assistant
- Toa Alta, PR
National Provider Identifier
1790218378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 2207
- Practice address
- 44 Calle 3 # 30
Alturas de Bucarabones
Toa Alta, PR 00953-2459 - Phone
- (787) 203-5232
- NPI assigned
- Apr 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Assistant | 2355S0801X | 2207 | PR | Primary |
Addresses
Primary practice location
44 Calle 3 # 30
Alturas de Bucarabones
Toa Alta, PR 00953-2459
Mailing address
44 Calle 3S 30
Alturas de Bucarabones
Toa Alta, PR 00953-4711
Phone (787) 203-5232
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2207 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491782400000",
"number": "1790218378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 CALLE 3S 30",
"address_2": "ALTURAS DE BUCARABONES",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009534711",
"telephone_number": "787-203-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 CALLE 3 # 30",
"address_2": "ALTURAS DE BUCARABONES",
"city": "TOA ALTA",
"state": "PR",
"postal_code": "009532459",
"telephone_number": "787-203-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "WALESKA",
"credential": "THL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-04-10",
"last_updated": "2017-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "PR",
"license": "2207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toa Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.