Provider Demographics
NPI:1407067465
Name:CABRERA TOLEDO, JOCELLYN (MS-SLP)
Entity Type:Individual
Prefix:
First Name:JOCELLYN
Middle Name:
Last Name:CABRERA TOLEDO
Suffix:
Gender:F
Credentials:MS-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DE DIEGO STREET COND. DE DIEGO 444
Mailing Address - Street 2:APT. 1401
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00923
Mailing Address - Country:US
Mailing Address - Phone:787-647-9831
Mailing Address - Fax:
Practice Address - Street 1:COND. DE DIEGO 444
Practice Address - Street 2:APT. 1401
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00923
Practice Address - Country:US
Practice Address - Phone:787-647-9831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR687235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist