Provider Demographics
NPI:1295384006
Name:SIEMBRA Y AMA LLC
Entity Type:Organization
Organization Name:SIEMBRA Y AMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AURA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-239-7234
Mailing Address - Street 1:AVE PALMA REAL APTO 12A1
Mailing Address - Street 2:MURANO APARTMENTS
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-239-7234
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN JORGE 258
Practice Address - Street 2:TORRE MEDICA HOSPITAL SAN JORGE 204
Practice Address - City:RIO PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-223-5146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty