Provider Demographics
NPI:1619718301
Name:COLON-BONILLA, FRANCHESKA MICHELLE
Entity type:Individual
Prefix:
First Name:FRANCHESKA
Middle Name:MICHELLE
Last Name:COLON-BONILLA
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 1:1322 PASEO DIAMELA
Mailing Address - Street 2:
Mailing Address - City:TOA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00949-4124
Mailing Address - Country:US
Mailing Address - Phone:787-612-7370
Mailing Address - Fax:
Practice Address - Street 1:AVE BOULEVARD EE 10 LOCAL 3
Practice Address - Street 2:6TA SECCION LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949
Practice Address - Country:US
Practice Address - Phone:787-612-7370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-05
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006753103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical