Provider Demographics
NPI:1821782905
Name:COLON RODRIGUEZ, KATHERINE
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:COLON RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NC3 CAMINO DE LOS ABADES
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4841
Mailing Address - Country:US
Mailing Address - Phone:787-239-9760
Mailing Address - Fax:
Practice Address - Street 1:PASEO DR JOSE CELSO BARBOSA EDIFICIO PRINCIPAL RCM
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program