Provider Demographics
NPI:1023260221
Name:MONTERO-COLON, WILDA ENID (FNP-BC)
Entity type:Individual
Prefix:
First Name:WILDA
Middle Name:ENID
Last Name:MONTERO-COLON
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C6 B7 ALTURAS DE FLAMBOYAN
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959-8142
Mailing Address - Country:US
Mailing Address - Phone:787-245-2196
Mailing Address - Fax:787-641-4566
Practice Address - Street 1:10 CALLE CASIA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921-3200
Practice Address - Country:US
Practice Address - Phone:787-641-7582
Practice Address - Fax:787-641-4566
Is Sole Proprietor?:No
Enumeration Date:2008-10-21
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9200602363LF0000X
PR1433363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily