Healthcare Provider Details

I. General information

NPI: 1245164839
Provider Name (Legal Business Name): HILLARY M TAPIA COLON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AC12 CALLE 6
BAYAMON PR
00959-7738
US

IV. Provider business mailing address

AC12 CALLE 6
BAYAMON PR
00959-7738
US

V. Phone/Fax

Practice location:
  • Phone: 787-217-4443
  • Fax:
Mailing address:
  • Phone: 787-217-4443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number08924
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: