Provider Demographics
NPI:1497549133
Name:COLON TRELLES, VICTORIA VIOLETA (DC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:VIOLETA
Last Name:COLON TRELLES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MM19 PLAZA 28
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00961-4764
Mailing Address - Country:US
Mailing Address - Phone:787-390-9656
Mailing Address - Fax:
Practice Address - Street 1:255 AVE PONCE DE LEON STE GF-112
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917-1955
Practice Address - Country:US
Practice Address - Phone:787-765-6507
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR001042111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor