Doctor Name: | MRS. MAYRA COLON QUINTANA |
NPI Number: | 1023289824 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 5753 |
Business Practice Address: | Carr 119 Km 28.7 Barrio Hoyamala San Sebastian Angeles, PR - 006110078 |
Business Phone Number: | 7872803543 |
Business Fax Number: | |
Mailing Address: | P.o.box 78, ANGELES |
State: | PR |
Postal Code: | 006110078 |
Phone Number: | 7878943063 |
Fax Number: | |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 06/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246Z00000X |
License Number: | 5753 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |