Provider Demographics
NPI:1588986723
Name:COLON SIFONTE, JOSE F (MSW)
Entity type:Individual
Prefix:MR
First Name:JOSE
Middle Name:F
Last Name:COLON SIFONTE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 5 BOX 11479
Mailing Address - Street 2:
Mailing Address - City:COROZAL
Mailing Address - State:PR
Mailing Address - Zip Code:00783-9665
Mailing Address - Country:US
Mailing Address - Phone:787-617-6444
Mailing Address - Fax:
Practice Address - Street 1:HC 5 BOX 11479
Practice Address - Street 2:
Practice Address - City:COROZAL
Practice Address - State:PR
Practice Address - Zip Code:00783-9665
Practice Address - Country:US
Practice Address - Phone:787-617-6444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-15
Last Update Date:2011-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR102481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical