Provider Demographics
NPI:1174278337
Name:COLON AQUINO, ABNERIS MARIE
Entity Type:Individual
Prefix:
First Name:ABNERIS
Middle Name:MARIE
Last Name:COLON AQUINO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB PLAZA DE LAS FUENTES 1012 CALLE ITALIA
Mailing Address - Street 2:
Mailing Address - City:TOA ALTA
Mailing Address - State:PR
Mailing Address - Zip Code:00953
Mailing Address - Country:US
Mailing Address - Phone:787-245-1248
Mailing Address - Fax:
Practice Address - Street 1:12 CALLE TERESA JORNET
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7517
Practice Address - Country:US
Practice Address - Phone:787-777-1285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program