Provider Demographics
NPI:1144777517
Name:COLON RIVERA, YONATAN (MD)
Entity type:Individual
Prefix:DR
First Name:YONATAN
Middle Name:
Last Name:COLON RIVERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1095
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:PR
Mailing Address - Zip Code:00677-1095
Mailing Address - Country:US
Mailing Address - Phone:787-546-6076
Mailing Address - Fax:
Practice Address - Street 1:826 AVE HOSTOS KM 159
Practice Address - Street 2:EDIF VILLA CAPITAN III SUITE 101
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1528
Practice Address - Country:US
Practice Address - Phone:787-546-6076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1457502084P0800X
PR220802084P0015X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry