Provider Demographics
NPI:1790895472
Name:COLON-DEMARTI, LUZ N (MD)
Entity Type:Individual
Prefix:
First Name:LUZ
Middle Name:N
Last Name:COLON-DEMARTI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LUZ
Other - Middle Name:N
Other - Last Name:COLON MATEO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 365067
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY UNIVERSITY OF PUERTO RICO MECI
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-765-4047
Mailing Address - Fax:787-766-0940
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS
Practice Address - Street 2:DEPT OF PSYCHIATRY
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-5067
Practice Address - Country:US
Practice Address - Phone:787-765-4047
Practice Address - Fax:787-766-0940
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR079852084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry