Doctor Name: | DIEGO J COLON RODRIGUEZ |
NPI Number: | 1639119316 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M. D. |
License Number: | 13771 |
Business Practice Address: | Local Aa-8 Loiza Valley Mall Canovanas, PR - 00729 |
Business Phone Number: | 7872564541 |
Business Fax Number: | 7872567610 |
Mailing Address: | Po Box 200, CANOVANAS |
State: | PR |
Postal Code: | 007290200 |
Phone Number: | 7872564541 |
Fax Number: | 7872567610 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 02/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 13771 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |