Provider Demographics
NPI:1427675487
Name:PEREZ COLON, CINDY M (LND)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:M
Last Name:PEREZ COLON
Suffix:
Gender:F
Credentials:LND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB FRANCISCO OLLER CALLE 6 Z3
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956
Mailing Address - Country:US
Mailing Address - Phone:787-929-4479
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 840 BARRIO CERRO GORDO
Practice Address - Street 2:SECTOR LA ALDEA ESPACIO 4B
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956
Practice Address - Country:US
Practice Address - Phone:787-998-3141
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1525133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education