Individual provider Active NPI

Paola Nicole Clavijo Colon, CRL, CRC

  • Rehabilitation Counselor
  • Bayamon, PR
National Provider Identifier
1194521708
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation CounselorTaxonomy code 225C00000X
License
1806 Issued in PR
Practice address
St. No. 2 KM 8.2 Bo. Juan Sanchez
Bayamon, PR 00960-7087
Phone
(787) 763-7575
NPI assigned
Feb 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Counselor 225C00000X 1806 PR Primary

Addresses

Primary practice location

St. No. 2 KM 8.2 Bo. Juan Sanchez
Bayamon, PR 00960-7087

Mailing address

A28 Villas del Bosque
Cidra, PR 00739-9202
Phone (787) 556-2376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1806PRMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1194521708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A28 VILLAS DEL BOSQUE",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399202",
            "telephone_number": "787-556-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ST. NO. 2 KM 8.2 BO. JUAN SANCHEZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009607087",
            "telephone_number": "787-763-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAVIJO COLON",
        "first_name": "PAOLA",
        "middle_name": "NICOLE",
        "credential": "CRL, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "PR",
            "license": "1806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.