Provider Demographics
NPI:1871717389
Name:COLON SANTINI, YADITZA (MD PEDIATRIC SPECIAL)
Entity type:Individual
Prefix:DR
First Name:YADITZA
Middle Name:
Last Name:COLON SANTINI
Suffix:
Gender:F
Credentials:MD PEDIATRIC SPECIAL
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Mailing Address - Street 1:ADELFA B 23 LOMAS VERDES
Mailing Address - Street 2:B23 ADELFA STREET LOMAS VERDES
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-3130
Mailing Address - Country:US
Mailing Address - Phone:787-785-3605
Mailing Address - Fax:787-880-6263
Practice Address - Street 1:AVE SAN LUIS STREET #129 KM NO 0.1
Practice Address - Street 2:DR CAYETANO COIL Y TOSTE HOSPITAL
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-878-7272
Practice Address - Fax:787-650-7300
Is Sole Proprietor?:No
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR9381208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR008226OtherTEM MEDICAL EXAMINER TRIB