Provider Demographics
NPI:1770923716
Name:COLMENARES, ROBIN XAVIER (RN)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:XAVIER
Last Name:COLMENARES
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3339 MURRAY ST
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-3256
Mailing Address - Country:US
Mailing Address - Phone:646-533-2674
Mailing Address - Fax:
Practice Address - Street 1:3339 MURRAY ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-3256
Practice Address - Country:US
Practice Address - Phone:646-533-2674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2013-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY662529163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse