Provider Demographics
NPI:1427597442
Name:COLINDRES, JOSE
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:
Last Name:COLINDRES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 E FLAGLER ST
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-1210
Mailing Address - Country:US
Mailing Address - Phone:305-573-3784
Mailing Address - Fax:
Practice Address - Street 1:169 E FLAGLER ST
Practice Address - Street 2:SUITE 1300
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33131-1210
Practice Address - Country:US
Practice Address - Phone:305-573-3784
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-23
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)