Doctor Name: | MS. REINA D. COLON-GONZALEZ |
NPI Number: | 1194955708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | 1646 |
Business Practice Address: | 405 Calle Padre Rivera Urb. La Inmaculada Vega Alta, PR - 006925834 |
Business Phone Number: | 7873905364 |
Business Fax Number: | 7879156830 |
Mailing Address: | 405 Calle Padre Rivera, Urb. La Inmaculada VEGA ALTA |
State: | PR |
Postal Code: | 006925834 |
Phone Number: | 7873905364 |
Fax Number: | 7879156830 |
NPI Enumeration Date: | 07/16/2009 |
NPI Last Update Date: | 07/16/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | 1646 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |