| Doctor Name: | MRS. JAQUELIN COLON MARIN |
| NPI Number: | 1750452504 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 13833 |
| Business Practice Address: | Ave. Dr. Susoni 284 B Hatillo, PR - 00659 |
| Business Phone Number: | 7878983387 |
| Business Fax Number: | 7878983387 |
| Mailing Address: | Po Box 1956, HATILLO |
| State: | PR |
| Postal Code: | 00659 |
| Phone Number: | 7878983387 |
| Fax Number: | 7878983387 |
| NPI Enumeration Date: | 11/13/2006 |
| NPI Last Update Date: | 04/04/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 13833 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |