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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487653366 | NPPES |
| Puerto Rico | MEDICAID | 38583400 | |
| Puerto Rico | MEDICAID | OV683 |
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