# CLINICA KALLIS COLON PSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124576020
- **Authorized official:** ISABELLE KALLIS COLON PH.D (CLINICAL PSYCHOLOGISY)
- **Authorized official phone:** (787) 617-5975

## Contact information

- **Practice address:** 1600 AVE PONCE DE LEON, 1 ST FLOOR, SAN JUAN, PR 00909-1844
- **Practice address phone:** (787) 724-9797
- **Practice address fax:** (787) 724-9700
- **Mailing address:** 1600 AVE PONCE DE LEON, 1 ST FLOOR, SAN JUAN, PR 00909-1844
- **Mailing address phone:** (787) 724-9797
- **Mailing address fax:** (787) 724-9700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/20/2016
- **Last updated:** 09/20/2016