Individual
MRS. CYNTHIA YVETTE COLLAZO-DIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
71 CALLE AUTONOMIA, CANOVANAS, PR 00729-3247
(787) 402-5247
Mailing address
URB PARQUE ECUESTRE, N4 C/PISAFLORES, CAROLINA, PR 00987-0000
(787) 635-9631
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
628
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
628
STATE LICENSE
PR
Enumeration date
08/13/2015
Last updated
10/31/2019
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