Healthcare Provider Details

I. General information

NPI: 1104379965
Provider Name (Legal Business Name): YANNINA M COLON SANCHEZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/28/2016
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

853 CALLE 53 SE REPARTO METROPOLITANO
SAN JUAN PR
00921-2315
US

IV. Provider business mailing address

853 CALLE 53 SE
SAN JUAN PR
00921-2315
US

V. Phone/Fax

Practice location:
  • Phone: 787-529-6822
  • Fax:
Mailing address:
  • Phone: 787-529-6822
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number23366
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: