Individual
MRS. MAYRA MILAGROS COLON-CANDELARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
188 CALLE TEBAS, OLYMPIC COURT, LAS PIEDRAS, PR 00771-9016
(787) 641-7582
(787) 641-4561
Mailing address
188 CALLE TEBAS, OLYMPIC COURT, LAS PIEDRAS, PR 00771-9016
(787) 641-7582
(787) 641-4561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14102
PR
207RI0200X
Infectious Disease Physician
14102
PR
208M00000X
Hospitalist Physician
Primary
14102
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100943
CRUZ AZUL DE PUERTO RICO
PR
01
—
23321 CO
TRIPLE-SSS
PR
01
—
7180119
HUMANA
PR
Enumeration date
06/08/2006
Last updated
01/20/2017
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