Individual
AIXALIS COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
PONCE DE LEON AVENUE PARADA 18, SAN JUAN, PR 00919-1227
(787) 758-2000
Mailing address
PO BOX 191227, SAN JUAN, PR 00919-1227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
30316
PR
Other
Enumeration date
09/17/2012
Last updated
09/17/2012
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