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NPI Code Detail

MEDICARE: MRS. LINDA IVELISSE COLON

MEDICARE:  MRS. LINDA IVELISSE COLON
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
1183500000XPharmacist2591PR

General Provider Information

NPI Number : 1144352709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA IVELISSE COLON
Provider Business Mailing Address
First Line : 23 CALLE PRINCIPAL
Second Line :
City : MOROVIS
State : PR
Zip : 00687-3048
Country : US
Telephone Number : 787-862-1733
Fax Number :
Provider Business Practice Location Address
First Line : 23 CALLE PRINCIPAL
Second Line :
City : MOROVIS
State : PR
Zip : 00687-3048
Country : US
Telephone Number : 787-862-1733
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. LINDA IVELISSE COLON ” Practice Location

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