Doctor Name: | DR. ISMAEL COLON CALDERON |
NPI Number: | 1063495976 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9826 |
Business Practice Address: | Calle Martinez Esquina Betonces #26 Juncos, PR - 00777 |
Business Phone Number: | 7877348042 |
Business Fax Number: | 7877346330 |
Mailing Address: | Po Box 1801, JUNCOS |
State: | PR |
Postal Code: | 007771801 |
Phone Number: | 7877348042 |
Fax Number: | 7877346330 |
NPI Enumeration Date: | 11/23/2005 |
NPI Last Update Date: | 02/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 9826 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |