Kiarahimar Colon-de Jesus

Individual provider Active NPI Technician/Technologist · Patillas, PR

NPI 1770140709 · NPPES record last updated May 24, 2019

Key facts

NPI
1770140709
Entity type
Individual (NPI type 1)
Primary specialty
Technician/Technologist 156F00000X
License
8750 (PR)
Practice address
99 Calle Guillermo Riefkhol
Patillas, PR 00723
Phone
(787) 839-4320
Fax
(787) 271-0004
NPI assigned
May 24, 2019
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8750PRMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X 8750 PR Yes

Addresses

Primary practice location

99 Calle Guillermo Riefkhol
Patillas, PR 00723

Mailing address

PO Box 697
Patillas, PR 00723-0697
Phone (787) 839-4320

Other identifiers

IdentifierTypeStateIssuer
218214OtherPRREGISTRY NUMBER

Electronic endpoints

TypeEndpointUseAffiliation
Other URL kcdjmls@gmail.com

Other providers in Patillas, PR

All providers in Patillas, PR · Technician/Technologist in Puerto Rico

Sources for this page

Verify at the official NPI Registry.