Individual
MARLYN LYNETTE COLON TORO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
E25 HACIENDAS DEL CAYABO, JUANA DIAZ, PR 00795
(939) 339-1251
Mailing address
BO BELGICA, 3429 CALLE CASTAING, PONCE, PR 00717
(939) 339-1251
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
7591
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7591
LICENCE
PR
Enumeration date
03/08/2018
Last updated
06/16/2018
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