Provider Demographics
NPI:1053891010
Name:SANTIAGO COLON, ARLENE (SLP)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:SANTIAGO COLON
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 4 BOX 46766
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-518-9161
Mailing Address - Fax:
Practice Address - Street 1:69 CALLE PEDRO SANTOS
Practice Address - Street 2:STE 4
Practice Address - City:MOCA
Practice Address - State:PR
Practice Address - Zip Code:00676-4014
Practice Address - Country:US
Practice Address - Phone:787-908-0908
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR004100235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist