Doctor Name: | DR. JUAN LUIS COLON |
NPI Number: | 1558347344 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 16227 |
Business Practice Address: | Ave. Emerito Estrada Rivera 901 San Sebastian, PR - 00685 |
Business Phone Number: | 7872801630 |
Business Fax Number: | |
Mailing Address: | Calle Areca 77, Urb Las Palmas De Cerro Gordo VEGA ALTA |
State: | PR |
Postal Code: | 00692 |
Phone Number: | 7875855370 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 11/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16227 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |