Colon, Liza

Colon, Liza is an sole proprietor health care provider with primary practice located at Galeria 100 Shopping Center Local 2 , Cabo Rojo PR 00623-0062. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Colon, Liza can be contacted via phone (787) 254-0303.

Contact Information

Primary practice address
Galeria 100 Shopping Center Local 2 Cabo Rojo PR 00623-0062
Phone: (787) 254-0303
Fax: (787) 255-0302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 498 Puerto Rico

Profile Details

NPI number 1487653366
LBN Legal business name Colon, Liza
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Sep 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487653366 NPPES
Puerto Rico MEDICAID 38583400
Puerto Rico MEDICAID OV683

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