Provider Demographics
NPI:1508843202
Name:COLON, DELIA C (PSYD)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:C
Last Name:COLON
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:PO BOX 1954
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1954
Mailing Address - Country:US
Mailing Address - Phone:787-735-0885
Mailing Address - Fax:787-735-0885
Practice Address - Street 1:EDIFICIO GUAYACAN
Practice Address - Street 2:SUITE 110C
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1954
Practice Address - Country:US
Practice Address - Phone:787-735-0885
Practice Address - Fax:787-735-0885
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1088103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR2097OtherAMERICAN PYCH SYSTEMS
PR2782OtherAMERICAN PYCH SYSTEMS
PR2782OtherAMERICAN PYCH SYSTEMS
Q13942Medicare UPIN