Healthcare Provider Details

I. General information

NPI: 1497716609
Provider Name (Legal Business Name): NESTOR SANCHEZ COLON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 05/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

EDIF PROFESIONAL HOSPITAL MENONITA SUITE 304
AIBONITO PR
00705
US

IV. Provider business mailing address

PO BOX 2042
AIBONITO PR
00705-2042
US

V. Phone/Fax

Practice location:
  • Phone: 787-735-8001
  • Fax:
Mailing address:
  • Phone: 787-735-8001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number5991
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: