Provider Demographics
NPI:1861723892
Name:PALOMO COLON, WILMARIE (PHD)
Entity type:Individual
Prefix:DR
First Name:WILMARIE
Middle Name:
Last Name:PALOMO COLON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. BELLA VISTA
Mailing Address - Street 2:CALLE NOBLE D 13
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716-0071
Mailing Address - Country:US
Mailing Address - Phone:787-358-7948
Mailing Address - Fax:
Practice Address - Street 1:9105 CALLE MARINA
Practice Address - Street 2:
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-2058
Practice Address - Country:US
Practice Address - Phone:787-358-7948
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-14
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3617103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical