Individual
DIANA LIZ COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
BO. MOGOTE, CARR # 151 KM 8.0, VILLALBA, PR 00766
(787) 847-0736
(787) 847-3336
Mailing address
PO BOX 1124, VILLALBA, PR 00766-1124
(787) 601-3591
(787) 847-3336
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
004567
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3745449
ELECTORAL
PR
01
—
4262475
DRIVERS LICENSE
PR
Enumeration date
04/23/2007
Last updated
07/08/2007
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