Individual
MRS. SANDRA I COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
LA RIVIERA 105 MEDICAL CENTER PLAZA, C/3 SE LC 15, SAN JUAN, PR 00926-0001
(787) 399-5056
Mailing address
PO BOX 366101, SAN JUAN, PR 00936-6101
(787) 399-5056
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2957
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2957
DEPARMENT OF HEALTH
PR
Enumeration date
07/25/2008
Last updated
07/25/2008
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