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General NPI Number Information
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NPI Number | 1043439870
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Entity Type | Individual
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Provider Name | ARISTIDES COLON PENA M.D,
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Gender | Male
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 309 RINCON SECTOR LOMA CARR 14 INTERIOR KM 0.3
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City | CAYEY
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State | PR
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Zip | 00737-2800
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Country | US
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Telephone | 787-371-2550
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Fax | 787-738-1434
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Provider Business Mailing Address
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Address Line | C13 PERLA CARIBE MANS MONTE VERDE
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City | CAYEY
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State | PR
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Zip | 00736-4156
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Country | US
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Telephone | 787-371-2550
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15049
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 15049
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License Number State | PR
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