Healthcare Provider Details

I. General information

NPI: 1386580751
Provider Name (Legal Business Name): KARINA VANESSA AMILL COLON RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE GUILLERMO RIEFKHOL #99
PATILLAS PR
00723
US

IV. Provider business mailing address

PO BOX 697
PATILLAS PR
00723-0697
US

V. Phone/Fax

Practice location:
  • Phone: 787-839-4320
  • Fax:
Mailing address:
  • Phone: 787-839-4320
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number102730
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: