Healthcare Provider Details

I. General information

NPI: 1184543605
Provider Name (Legal Business Name): MS. PAOLA COLON TORRES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

153 AVE JOSE DE DIEGO E
CAYEY PR
00736-3847
US

IV. Provider business mailing address

CALLE 4 H5A URB SAN CRSITOBAL
BARRANQUITAS PR
00794
US

V. Phone/Fax

Practice location:
  • Phone: 939-323-8088
  • Fax:
Mailing address:
  • Phone: 787-202-9881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number8680
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: