Provider Demographics
NPI:1033352083
Name:COLON, SONYA M (MSSW)
Entity Type:Individual
Prefix:MS
First Name:SONYA
Middle Name:M
Last Name:COLON
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 AVE DE LA CONSTITUCION
Mailing Address - Street 2:SUITE 1401 CONDOMINIUM MILLENNIUM
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-2321
Mailing Address - Country:US
Mailing Address - Phone:787-306-0463
Mailing Address - Fax:787-317-6000
Practice Address - Street 1:550 AVE DE LA CONSTITUCION
Practice Address - Street 2:SUITE 1401 CONDOMINIUM MILLENNIUM
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00901-2321
Practice Address - Country:US
Practice Address - Phone:787-306-0463
Practice Address - Fax:787-317-6000
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3954104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker