Provider Demographics
NPI:1558919233
Name:COLON RIVERA, AURA (MD)
Entity Type:Individual
Prefix:
First Name:AURA
Middle Name:
Last Name:COLON RIVERA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE PALMA REAL MURANO LUXURY APARTMENTS
Mailing Address - Street 2:APARTAMENTO 12A-1
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-223-5146
Mailing Address - Fax:
Practice Address - Street 1:CALLE SAN JORGE
Practice Address - Street 2:258
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-692-1355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist