Provider Demographics
NPI:1891679593
Name:COLON, AMARYLLIS MUNOZ
Entity type:Individual
Prefix:DR
First Name:AMARYLLIS
Middle Name:MUNOZ
Last Name: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 1:7000 CARR 844 APT 198
Mailing Address - Street 2:ESTANCIAS DEL BVD
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-225-0394
Mailing Address - Fax:
Practice Address - Street 1:7000 CARR 844 APT 5F8
Practice Address - Street 2:ESTANCIAS DEL BVD
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-7822
Practice Address - Country:US
Practice Address - Phone:787-225-0394
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR255103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical