Mildred Colton-Rivera
Individual provider Active NPI Professional Counselor · Bayamon, PR
NPI 1609256247 · NPPES record last updated Jun 8, 2015
Key facts
- NPI
- 1609256247
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2218 (PR)
- Practice address
- 75-42 Ave Ramon Luis Rivera
Bayamon, PR 00960 - Phone
- (787) 585-2102
- NPI assigned
- Jun 8, 2015
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2218 | PR | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2218 | PR | Yes |
Addresses
Primary practice location
75-42 Ave Ramon Luis Rivera
Bayamon, PR 00960
Mailing address
PO Box 1913
Bayamon, PR 00960-1913
Phone (787) 585-2102
Other names
- Mildred Colton-Rivera
NPI Registry JSON
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433721600000",
"number": "1609256247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1913",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009601913",
"telephone_number": "787-585-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-42 AVE RAMON LUIS RIVERA",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00960",
"telephone_number": "787-585-2102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLTON-RIVERA",
"first_name": "MILDRED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PR",
"license": "2218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILDRED",
"last_name": "COLTON-RIVERA",
"credential": "CPL",
"code": "1",
"type": "Former Name"
}
]
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All providers in Bayamon, PR · Professional Counselor in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.