Provider Demographics
NPI:1134323256
Name:AMADOR COLON, ABIGAIL (PSYCHOLOGIST)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:
Last Name:AMADOR COLON
Suffix:
Gender:F
Credentials:PSYCHOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 110 BH-24 VALLE ARRIBA HEIGHTS
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00983-3309
Mailing Address - Country:US
Mailing Address - Phone:787-614-0366
Mailing Address - Fax:787-886-1311
Practice Address - Street 1:#63 CALLE HERNAIZ ESQUINO BETANCES
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729-3309
Practice Address - Country:US
Practice Address - Phone:787-614-0366
Practice Address - Fax:787-886-1311
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1939103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist