Provider Demographics
NPI:1336039262
Name:RIVERA COLON, KARLA MICHELLE
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MICHELLE
Last Name:RIVERA 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:BDA. FERRAN
Mailing Address - Street 2:CALLE 8 #26
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00730
Mailing Address - Country:US
Mailing Address - Phone:939-244-8927
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL DE PSIQUIATRIA FORENSE DE PONCE
Practice Address - Street 2:931 AVE. TITO CASTRO
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716-4717
Practice Address - Country:US
Practice Address - Phone:939-244-8927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-03
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR170861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical