Provider Demographics
NPI:1366982795
Name:COLON VILA, ALINA (DMD)
Entity type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:COLON VILA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:D2 CALLE RUBI
Mailing Address - Street 2:
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5446
Mailing Address - Country:US
Mailing Address - Phone:787-585-2683
Mailing Address - Fax:
Practice Address - Street 1:A-18 AVE. DEGETAU
Practice Address - Street 2:URB. BONNEVILLE TERRANCE
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-743-4613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-05
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR33351223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty