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NPI Code Detail

MEDICARE: DR. ANGEL WILFREDO HERNANDEZ COLON M.D.

MEDICARE: DR. ANGEL WILFREDO HERNANDEZ COLON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist3248PR

General Provider Information

NPI Number : 1023012630
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANGEL WILFREDO HERNANDEZ COLON M.D.
Provider Business Mailing Address
First Line : INSTITUTO SAN PABLO
Second Line : #66 SANTA CRUZ ST . STE 501
City : BAYAMON
State : PR
Zip : 00961-7050
Country : US
Telephone Number : 787-787-1085
Fax Number : 787-785-2469
Provider Business Practice Location Address
First Line : INSTITUTO SAN PABLO
Second Line : #66 SANTA CRUZ ST. STE 501
City : BAYAMON
State : PR
Zip : 00961-7041
Country : US
Telephone Number : 787-787-1085
Fax Number : 787-785-2469
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2005
Last Update Date : 09/05/2007

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