Provider Demographics
NPI:1891425393
Name:MOLINA COLON, ANAMARYS SR (MSW)
Entity type:Individual
Prefix:
First Name:ANAMARYS
Middle Name:
Last Name:MOLINA COLON
Suffix:SR
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1C14 LOMAS VERDES
Mailing Address - Street 2:SUITE 175
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3334
Mailing Address - Country:US
Mailing Address - Phone:787-269-2046
Mailing Address - Fax:
Practice Address - Street 1:1C14 LOMAS VERDES
Practice Address - Street 2:SUITE 175
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-0095
Practice Address - Country:US
Practice Address - Phone:787-269-2046
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR149021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty