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General NPI Number Information
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NPI Number | 1578791646
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Entity Type | Individual
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Provider Name | BETSY GISSELLE COLON-ACEVEDO MD
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Gender | Female
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Dates
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Enumeration Date | 06/29/2009
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Last Update Date | 03/14/2025
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Provider Practice Location Address
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Address Line | 2625 AVE HOSTOS STE 1
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6326
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Country | US
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Telephone | 787-476-0333
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Fax | 787-476-0332
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Provider Business Mailing Address
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Address Line | 2625 AVE HOSTOS STE 1
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City | MAYAGUEZ
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State | PR
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Zip | 00682-6326
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Country | US
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Telephone | 787-645-0897
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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 | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 18537
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | 18537
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 18537
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License Number State | PR
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