Provider Demographics
NPI:1952073082
Name:LAMAZARES, YANET
Entity Type:Individual
Prefix:
First Name:YANET
Middle Name:
Last Name:LAMAZARES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COND HILLSVIEW PLAZA 59 CALLE UNION
Mailing Address - Street 2:APT 315
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00971
Mailing Address - Country:US
Mailing Address - Phone:305-281-8465
Mailing Address - Fax:
Practice Address - Street 1:COND HILLSVIEW PLAZA 59 CALLE UNION
Practice Address - Street 2:APT 315
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971
Practice Address - Country:US
Practice Address - Phone:305-281-8465
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004384-1235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty