Healthcare Provider Details

I. General information

NPI: 1912071747
Provider Name (Legal Business Name): NANCY M COLON MT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/20/2006
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CALLE PATRON
MOROVIS PR
00687-3012
US

IV. Provider business mailing address

3 CALLE PATRON
MOROVIS PR
00687-3328
US

V. Phone/Fax

Practice location:
  • Phone: 787-862-1163
  • Fax: 787-862-1163
Mailing address:
  • Phone: 787-915-5835
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246QM0706X
TaxonomyMedical Technologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: