MEDICARE: DR. MANUEL ALFONSO COLON TERRON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	24978	PR

General Provider Information

NPI Number	:	1881332104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MANUEL ALFONSO COLON TERRON

Provider Business Mailing Address
First Line	:	917 AVE TITO CASTRO
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00716-4717
Country	:	US
Telephone Number	:	787-844-2080
Fax Number	:

Provider Business Practice Location Address
First Line	:	37 CALLE FALCON
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00926-9535
Country	:	US
Telephone Number	:	787-478-8509
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2022
Last Update Date	:	06/27/2026

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