Healthcare Provider Details

I. General information

NPI: 1194928143
Provider Name (Legal Business Name): HELGA COLON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

C11 CALLE B
SAN JUAN PR
00926-3405
US

IV. Provider business mailing address

C11 CALLE B
SAN JUAN PR
00926-3405
US

V. Phone/Fax

Practice location:
  • Phone: 787-754-7009
  • Fax:
Mailing address:
  • Phone: 787-754-7009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0015X
TaxonomyPsychosomatic Medicine Physician
License Number9231
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: