Provider Demographics
NPI:1013636349
Name:COLLAZO, DELMI YAMILET
Entity type:Individual
Prefix:
First Name:DELMI
Middle Name:YAMILET
Last Name:COLLAZO
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:B26 CALLE 3 COAMO GDNS
Mailing Address - Street 2:
Mailing Address - City:COAMO
Mailing Address - State:PR
Mailing Address - Zip Code:00769-2345
Mailing Address - Country:US
Mailing Address - Phone:787-601-9970
Mailing Address - Fax:
Practice Address - Street 1:CARR. 150 COMUNIDAD TOA VACA PARCELA #96 HATILLO
Practice Address - Street 2:
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-601-9970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2024-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist