Provider Demographics
NPI:1225698434
Name:COLON VALENTIN, JANYFEL AMAGDYS (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JANYFEL
Middle Name:AMAGDYS
Last Name:COLON VALENTIN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB COLINAS DE FAIRVIEW
Mailing Address - Street 2:4L50 CALLE 211A
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976
Mailing Address - Country:US
Mailing Address - Phone:787-647-7037
Mailing Address - Fax:
Practice Address - Street 1:395 ZONA INDUSTRIAL REPARADA 2
Practice Address - Street 2:CALLE DR LUIS F SALA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-2348
Practice Address - Country:US
Practice Address - Phone:787-840-2575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2021-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR6756103TC2200X, 103TH0100X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service