Basic Information
| Provider Information | |||||||||
| NPI: | 1639459738 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COLON | ||||||||
| FirstName: | AMNERIS | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1017 | ||||||||
| Address2: | |||||||||
| City: | MOCA | ||||||||
| State: | PR | ||||||||
| PostalCode: | 006761017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7876043113 | ||||||||
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| Practice Location | |||||||||
| Address1: | HOPU CENTRO MEDICO | ||||||||
| Address2: | BARRIO MONACILLOS, RIO PIEDRAS | ||||||||
| City: | SAN JUAN | ||||||||
| State: | PR | ||||||||
| PostalCode: | 009365087 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877773535 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/19/2011 | ||||||||
| LastUpdateDate: | 09/18/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 18859 | PR | Y | Allopathic & Osteopathic Physicians | Pediatrics | 281P00000X | N | Hospitals | Chronic Disease Hospital | 282NC2000X | 12915 | PR | N | Hospitals | General Acute Care Hospital | Children |
No ID Information.