Provider Demographics
NPI:1346937059
Name:COLINA PRATTS, CELYNESS
Entity Type:Individual
Prefix:
First Name:CELYNESS
Middle Name:
Last Name:COLINA PRATTS
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:HIGHLAND GARDEN, CALLE ACUARELA
Mailing Address - Street 2:C5
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00985
Mailing Address - Country:US
Mailing Address - Phone:787-998-7899
Mailing Address - Fax:
Practice Address - Street 1:HIGHLAND GARDEN, CALLE ACUARELA
Practice Address - Street 2:C5
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-998-7899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRPA-1410363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical