Clinica Kallis Colon PSC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CLINICA KALLIS COLON PSC

Practice address

1600 Ave Ponce de Leon
1 St Floor
San Juan, PR 00909-1844

Phone

(787) 724-9797

Fax

(787) 724-9700

NPI assigned

Sep 20, 2016

Last updated

Sep 20, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Isabelle Kallis Colon, PH.DNPI 1528207396

Title

Clinical Psychologisy

Phone

(787) 617-5975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isabelle Kallis Colon, PH.D

  • Psychologist
  • Santurce, PR
  • NPI 1528207396
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1124576020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 AVE PONCE DE LEON",
            "address_2": "1 ST FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091844",
            "telephone_number": "787-724-9797",
            "fax_number": "787-724-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 AVE PONCE DE LEON",
            "address_2": "1 ST FLOOR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091844",
            "telephone_number": "787-724-9797",
            "fax_number": "787-724-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA KALLIS COLON PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "KALLIS COLON",
        "authorized_official_first_name": "ISABELLE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGISY",
        "authorized_official_telephone_number": "787-617-5975",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinica Las Americas Guaynabo, Inc (Salus @ Work SSS)

• Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.