Healthcare Provider Details

I. General information

NPI: 1538423819
Provider Name (Legal Business Name): LUIS ALBERTO SANCHEZ-COLON M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2012
Last Update Date: 04/08/2020
Certification Date: 04/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 AVE JOSE DE DIEGO E
CAYEY PR
00736-3818
US

IV. Provider business mailing address

400 GRAND BLVD LOS PRADOS APT 30103
CAGUAS PR
00727-3383
US

V. Phone/Fax

Practice location:
  • Phone: 787-263-6464
  • Fax:
Mailing address:
  • Phone: 787-501-3399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number19393
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number19393
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: