Doctor Name: | DR. EVA LIZ COLON |
NPI Number: | 1245302603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 15664 |
Business Practice Address: | Carr.167 Km14.8 Bo.buena Vista Bayamon, PR - 00956 |
Business Phone Number: | 7877970754 |
Business Fax Number: | 7877970754 |
Mailing Address: | Urbanizacion Praderas Del Rio, Calle Monte La Mina 3-269 TOA ALTA |
State: | PR |
Postal Code: | 00953 |
Phone Number: | 7875535755 |
Fax Number: | 7877970754 |
NPI Enumeration Date: | 11/14/2006 |
NPI Last Update Date: | 03/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 15664 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |