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NPI Code Detail

MEDICARE: MELVIN COLON RUIZ

MEDICARE: MELVIN COLON RUIZ
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
1208D00000XGeneral Practice Physician23459PR

General Provider Information

NPI Number : 1144842105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELVIN COLON RUIZ
Provider Business Mailing Address
First Line : HC 2 BOX 4643
Second Line :
City : GUAYAMA
State : PR
Zip : 00784-7512
Country : US
Telephone Number : 787-472-0605
Fax Number :
Provider Business Practice Location Address
First Line : CALLE PR3 KM 138, URB GILBRALTAR CALLE BERING LOCAL 2A
Second Line :
City : GUAYAMA
State : PR
Zip : 00784-1111
Country : US
Telephone Number : 787-866-0652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2020
Last Update Date : 01/22/2026

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Directions to “ MELVIN COLON RUIZ ” Practice Location

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