Provider Demographics
NPI:1760854350
Name:COLOM, FRANCES MARIE (RN)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:MARIE
Last Name:COLOM
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:E36 CALLE PEDRO FLORES
Mailing Address - Street 2:URB. BORINQUEN
Mailing Address - City:CABO ROJO
Mailing Address - State:PR
Mailing Address - Zip Code:00623-3367
Mailing Address - Country:US
Mailing Address - Phone:787-462-8022
Mailing Address - Fax:
Practice Address - Street 1:E36 CALLE PEDRO FLORES
Practice Address - Street 2:URB. BORINQUEN
Practice Address - City:CABO ROJO
Practice Address - State:PR
Practice Address - Zip Code:00623-3367
Practice Address - Country:US
Practice Address - Phone:787-462-8022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-22
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15577163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse