Individual provider Active NPI

Waleska Collazo, THL

  • Speech-Language Assistant
  • Toa Alta, PR
National Provider Identifier
1790218378
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
2207 Issued in PR
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

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2207PRMDPharmacist

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.

Verify at the official NPI Registry.