Provider Demographics
NPI:1447820857
Name:GUADALUPE COLON, GABRIELA (DC)
Entity type:Individual
Prefix:DR
First Name:GABRIELA
Middle Name:
Last Name:GUADALUPE COLON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29 GRANDVIEW AVE STE B
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1039
Mailing Address - Country:US
Mailing Address - Phone:716-868-4511
Mailing Address - Fax:
Practice Address - Street 1:29 GRANDVIEW AVE STE B
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1039
Practice Address - Country:US
Practice Address - Phone:716-868-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-28
Last Update Date:2021-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-05100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor