Doctor Name: | JOSE EFRAIN COLON |
NPI Number: | 1275560328 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11383 |
Business Practice Address: | Ave. Luis Munos Rivera 59 Vega Alta, PR - 00692 |
Business Phone Number: | 7879156895 |
Business Fax Number: | 7879156895 |
Mailing Address: | Calle Kennedy Bo. Mameyal, 92-a DORADO |
State: | PR |
Postal Code: | 00646 |
Phone Number: | 7876322742 |
Fax Number: | |
NPI Enumeration Date: | 06/26/2006 |
NPI Last Update Date: | 12/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 11383 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |