Provider Demographics
NPI:1215765326
Name:SANTOS COLON, BRUNYMAR (LCSW)
Entity type:Individual
Prefix:
First Name:BRUNYMAR
Middle Name:
Last Name:SANTOS COLON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CLL JULIO CINTRON
Mailing Address - Street 2:201-207, EDIFICIO GUAYACAN
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705
Mailing Address - Country:US
Mailing Address - Phone:787-218-3720
Mailing Address - Fax:
Practice Address - Street 1:CLL JULIO CINTRON
Practice Address - Street 2:201-207, EDIFICIO GUAYACAN
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-218-3720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR88451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical