Provider Demographics
NPI:1306181664
Name:DIAZ-TRONCOSO, JANET (S-LP)
Entity type:Individual
Prefix:MISS
First Name:JANET
Middle Name:
Last Name:DIAZ-TRONCOSO
Suffix:
Gender:F
Credentials:S-LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 CALLE BUENOS AIRES
Mailing Address - Street 2:
Mailing Address - City:HATO REY
Mailing Address - State:PR
Mailing Address - Zip Code:00917-1126
Mailing Address - Country:US
Mailing Address - Phone:787-513-5079
Mailing Address - Fax:
Practice Address - Street 1:13 CALLE BUENOS AIRES
Practice Address - Street 2:
Practice Address - City:HATO REY
Practice Address - State:PR
Practice Address - Zip Code:00917-1126
Practice Address - Country:US
Practice Address - Phone:787-513-5079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1042235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist