Provider Demographics
NPI:1750939161
Name:COLON-DROZ, MARIA ROSANGELI
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ROSANGELI
Last Name:COLON-DROZ
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 1:550 YUCCA AVE APT 57
Mailing Address - Street 2:
Mailing Address - City:BARSTOW
Mailing Address - State:CA
Mailing Address - Zip Code:92311-3276
Mailing Address - Country:US
Mailing Address - Phone:760-898-9869
Mailing Address - Fax:760-255-2105
Practice Address - Street 1:309 E MOUNTAIN VIEW ST STE 100
Practice Address - Street 2:
Practice Address - City:BARSTOW
Practice Address - State:CA
Practice Address - Zip Code:92311-2814
Practice Address - Country:US
Practice Address - Phone:760-256-7279
Practice Address - Fax:760-255-2105
Is Sole Proprietor?:No
Enumeration Date:2019-08-28
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor