Provider Demographics
NPI:1477867984
Name:COLON, OLGA LYDIA (BSN)
Entity Type:Individual
Prefix:MRS
First Name:OLGA
Middle Name:LYDIA
Last Name:COLON
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE MONTE NEGRO U-3 URB PARQUE ECUESTRE
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-8552
Mailing Address - Country:US
Mailing Address - Phone:787-762-4776
Mailing Address - Fax:
Practice Address - Street 1:CALLE MONTE NEGRO U-3 URB PARQUE ECUESTRE
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-8552
Practice Address - Country:US
Practice Address - Phone:787-762-4776
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-27
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18685163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse