Provider Demographics
NPI:1497632400
Name:IGLESIAS, YASIRIS CORAL (BD)
Entity type:Individual
Prefix:
First Name:YASIRIS
Middle Name:CORAL
Last Name:IGLESIAS
Suffix:
Gender:F
Credentials:BD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 CALLE CUEVAS BUSTAMANTE BOX 116
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918
Mailing Address - Country:US
Mailing Address - Phone:787-501-4427
Mailing Address - Fax:
Practice Address - Street 1:#500 PLAZA CHEVRES, STE 4 URB. ALTURAS DE FLAMBOYAN
Practice Address - Street 2:AVE. TINTE. NELSON MARTINEZ
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-501-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0075992355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant