Healthcare Provider Details

I. General information

NPI: 1669294823
Provider Name (Legal Business Name): ALONDRA COLON CONTI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2024
Last Update Date: 10/29/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BO GUERRERO CALLE KAREN 308 VILLA KAREN
ISABELA PR
00662
US

IV. Provider business mailing address

BO GUERRERO CALLE KAREN 308 VILLA KAREN
ISABELA PR
00662
US

V. Phone/Fax

Practice location:
  • Phone: 787-597-4766
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number47357
License Number StateFL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: