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NPI Code Detail

MEDICARE: DR IRMA COLON PSC RADIOLOGIST

MEDICARE: DR IRMA COLON PSC RADIOLOGIST
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
1261QR0206XMammography Clinic/Center7857PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
184659OTHERPRSSS

General Provider Information

NPI Number : 1205031861
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR IRMA COLON PSC RADIOLOGIST
Provider Business Mailing Address
First Line : 53 AVE ESMERALDA
Second Line : PMB 171
City : GUAYNABO
State : PR
Zip : 00969-4429
Country : US
Telephone Number : 787-272-5656
Fax Number : 787-720-3232
Provider Business Practice Location Address
First Line : 202 AVE ESMERALDA
Second Line : PONCE DE LEON
City : GUAYNABO
State : PR
Zip : 00969-4448
Country : US
Telephone Number : 787-272-5656
Fax Number : 787-720-3232
Authorized Official
Title or Position : PRESIDENT
Name : DR. IRMA N. COLON
Credential : M.D.
Telephone Number : 787-272-5656
Provider Enumeration Date : 06/15/2007
Last Update Date : 08/08/2008

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Directions to “DR IRMA COLON PSC RADIOLOGIST ” Practice Location

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