Healthcare Provider Details

I. General information

NPI: 1003866971
Provider Name (Legal Business Name): DR. NELSON COLON RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2006
Last Update Date: 09/24/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DE21 URB LA MARGARITA
SALINAS PR
00751-2714
US

IV. Provider business mailing address

DE21 URB LA MARGARITA
SALINAS PR
00751-2714
US

V. Phone/Fax

Practice location:
  • Phone: 787-309-8374
  • Fax:
Mailing address:
  • Phone: 787-309-8374
  • Fax: 787-999-5539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number1257
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: