Provider Demographics
NPI:1639502669
Name:COLON-MELECIO, LYMARI (MS-SLP)
Entity Type:Individual
Prefix:MRS
First Name:LYMARI
Middle Name:
Last Name:COLON-MELECIO
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 1:1799 CALLE SAN DANIEL
Mailing Address - Street 2:ALTURAS DE SAN DANIEL
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00612-2798
Mailing Address - Country:US
Mailing Address - Phone:787-453-7554
Mailing Address - Fax:
Practice Address - Street 1:1799 CALLE SAN DANIEL
Practice Address - Street 2:ALTURAS DE SAN DANIEL
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-2798
Practice Address - Country:US
Practice Address - Phone:787-453-7554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001381235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist