Basic Information
| Provider Information | |||||||||
| NPI: | 1699250845 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAEZ COLON | ||||||||
| FirstName: | JULIMAR | ||||||||
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| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 545 | ||||||||
| Address2: | |||||||||
| City: | BARRANQUITAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007940545 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872969776 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | F35 AVE DEGATAU | ||||||||
| Address2: | URB BONNEVILLE HEIGHTS | ||||||||
| City: | CAGUAS | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00725 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872969776 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/03/2018 | ||||||||
| LastUpdateDate: | 09/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 6139 | PR | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.