Provider Demographics
NPI:1598931024
Name:COLON ZAYAS, CARMEN TERESA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARMEN
Middle Name:TERESA
Last Name:COLON ZAYAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1551
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-1551
Mailing Address - Country:US
Mailing Address - Phone:787-662-4153
Mailing Address - Fax:787-847-2672
Practice Address - Street 1:CARR. 149 KM. 58.6
Practice Address - Street 2:SECTOR TIERRA SANTA
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766-1551
Practice Address - Country:US
Practice Address - Phone:787-847-1211
Practice Address - Fax:787-847-2672
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-05
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR009394207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRLIC MEDICOOther9394