=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033352083
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SONYA M COLON MSSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/07/2009
-----------------------------------------------------
Last Update Date | 04/07/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 550 AVE DE LA CONSTITUCION SUITE 1401 CONDOMINIUM MILLENNIUM
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00901-2321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-306-0463
-----------------------------------------------------
Fax | 787-317-6000
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 550 AVE DE LA CONSTITUCION SUITE 1401 CONDOMINIUM MILLENNIUM
-----------------------------------------------------
City | SAN JUAN
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00901-2321
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-306-0463
-----------------------------------------------------
Fax | 787-317-6000
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 3954
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------