Doctor Name: | DR. RAFAEL A. COLON-DIAZ |
NPI Number: | 1447263165 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 1851 |
Business Practice Address: | 1 Calle Domingo Caceres E Carolina, PR - 009856013 |
Business Phone Number: | 7877571190 |
Business Fax Number: | 7877628881 |
Mailing Address: | Po Box 647, CAROLINA |
State: | PR |
Postal Code: | 009860647 |
Phone Number: | 7877571190 |
Fax Number: | 7877628881 |
NPI Enumeration Date: | 08/14/2006 |
NPI Last Update Date: | 12/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 1851 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |