MEDICARE: JASHLY DIAZ RIVEAR SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	4683	PR

General Provider Information

NPI Number	:	1295681864
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASHLY DIAZ RIVEAR SLP

Provider Business Mailing Address
First Line	:	M28 CALLE SAN RAMON
Second Line	:
City	:	CAGUAS
State	:	PR
Zip	:	00725-6420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	AVE LUIS MUNOZ MARIN
Second Line	:	ANGORA OFFICE PARK LOCAL 12
City	:	CAGUAS
State	:	PR
Zip	:	00725
Country	:	US
Telephone Number	:	787-745-2410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ JASHLY DIAZ RIVEAR SLP” Practice Location

Language	Start Address	Practice Location

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