Provider Demographics
NPI:1013148097
Name:COLON-NIEVES, NAYRALIZ (MD)
Entity Type:Individual
Prefix:DR
First Name:NAYRALIZ
Middle Name:
Last Name:COLON-NIEVES
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:URB SIERRA BERDECIA
Mailing Address - Street 2:CALLE BENITEZ G-22
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969
Mailing Address - Country:US
Mailing Address - Phone:787-685-9520
Mailing Address - Fax:
Practice Address - Street 1:HAS - HEALTHCARE AMBULATORY, INC.
Practice Address - Street 2:PLAZA DEL CARMEN MALL #24 CARR #172
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-685-9520
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17636208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice