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General NPI Number Information
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NPI Number | 1649246117
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Entity Type | Individual
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Provider Name | MANUEL A COLON MD, RDMS, FAAEM
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Gender | Male
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Dates
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Enumeration Date | 02/24/2006
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Last Update Date | 01/25/2010
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Provider Practice Location Address
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Address Line | 65TH INFANTRY AVE. #3 ST. KM 8.3
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City | CAROLINA
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State | PR
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Zip | 00985
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Country | US
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Telephone | 787-757-1800
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Fax | 787-750-0930
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Provider Business Mailing Address
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Address Line | 160 CAMINO LOS COROZOS URB. SABANERA DEL RIO
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-564-8962
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 14590
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License Number State | PR
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