Healthcare Provider Details

I. General information

NPI: 1588851539
Provider Name (Legal Business Name): SHEILA D PEREZ COLON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHEILA PEREZ

II. Dates (important events)

Enumeration Date: 10/03/2007
Last Update Date: 09/11/2022
Certification Date: 09/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1507 AVE PONCE DE LEON APT 205
SAN JUAN PR
00909-2050
US

IV. Provider business mailing address

300 AVE LA SIERRA APT 187
SAN JUAN PR
00926-4362
US

V. Phone/Fax

Practice location:
  • Phone: 939-475-1414
  • Fax:
Mailing address:
  • Phone: 939-475-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number258039
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberME142653
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License NumberC154871
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number022186
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: