Provider Demographics
NPI:1023795606
Name:CRESPO COLON, NATALIA MARIA
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:MARIA
Last Name:CRESPO COLON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CALLE CRUZ DE MALTA
Mailing Address - Street 2:
Mailing Address - City:TRUJILLO ALTO
Mailing Address - State:PR
Mailing Address - Zip Code:00976-2709
Mailing Address - Country:US
Mailing Address - Phone:787-412-0561
Mailing Address - Fax:
Practice Address - Street 1:BO. RINCON SECTOR LAS LOMAS KM 3.1 CARR 14
Practice Address - Street 2:HOSPITAL MENONITA EN CAYEY
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program