Doctor Name: | DR. AMARILYS COLON TIRADO |
NPI Number: | 1205804259 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 14341 |
Business Practice Address: | 66 Santa Cruz St Suite 308 Instituto San Pablo Bayamon, PR - 009610000 |
Business Phone Number: | 7877806237 |
Business Fax Number: | |
Mailing Address: | Am-39 Calle 19, Urb Praderas TOA BAJA |
State: | PR |
Postal Code: | 009490000 |
Phone Number: | 7874623807 |
Fax Number: | |
NPI Enumeration Date: | 03/08/2006 |
NPI Last Update Date: | 04/19/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14341 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |