Healthcare Provider Details

I. General information

NPI: 1568656833
Provider Name (Legal Business Name): ZAIDA COLON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2007
Last Update Date: 08/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BARRIO MACHUELO CARRETERA 14
PONCE PR
00731
US

IV. Provider business mailing address

HC-01 BOX 3786
VILLALBA PR
00766
US

V. Phone/Fax

Practice location:
  • Phone: 787-842-6646
  • Fax: 787-840-7761
Mailing address:
  • Phone: 787-842-6646
  • Fax: 787-840-7761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: