Provider Demographics
NPI:1841754678
Name:COLON, NAZARET
Entity Type:Individual
Prefix:MISS
First Name:NAZARET
Middle Name:
Last Name:COLON
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:HOSPITAL UPR DR. FEDERICO TRILLA
Mailing Address - Street 2:KM 8.3 CALLE 3, AV. 65 DE INFANTERIA
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00984
Mailing Address - Country:US
Mailing Address - Phone:787-379-4774
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL UPR DR. FEDERICO TRILLA
Practice Address - Street 2:KM 8.3 CALLE 3, AV. 65 DE INFANTERIA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00984
Practice Address - Country:US
Practice Address - Phone:787-379-4774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-25
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR36019R207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine