MEDICARE: YANILMAR ALLENDE COTTO

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	4613	PR

General Provider Information

NPI Number	:	1609718428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YANILMAR ALLENDE COTTO

Provider Business Mailing Address
First Line	:	450 CARR 844 APT 1712
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9847
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 CARR 844 APT 1712
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9847
Country	:	US
Telephone Number	:	787-604-0935
Fax Number	:

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

Provider Enumeration Date	:	04/08/2026
Last Update Date	:	04/08/2026

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Directions to “ YANILMAR ALLENDE COTTO ” Practice Location

Language	Start Address	Practice Location

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