Provider Demographics
NPI:1972672186
Name:COLON, VILMA (MD)
Entity Type:Individual
Prefix:DR
First Name:VILMA
Middle Name:
Last Name:COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3026
Mailing Address - Street 2:
Mailing Address - City:KINGSHILL
Mailing Address - State:VI
Mailing Address - Zip Code:00851-3026
Mailing Address - Country:US
Mailing Address - Phone:340-692-9625
Mailing Address - Fax:340-778-9497
Practice Address - Street 1:RR 2 BOX 10553
Practice Address - Street 2:THE VILLAGE MALL BAY 14-16
Practice Address - City:KINGSHILL
Practice Address - State:VI
Practice Address - Zip Code:00850-9604
Practice Address - Country:US
Practice Address - Phone:340-778-5553
Practice Address - Fax:340-778-9497
Is Sole Proprietor?:No
Enumeration Date:2006-11-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR7728208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC47586Medicare UPIN