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NPI Code Detail

MEDICARE: JOSE LUIS COLON GONZALEZ M.D.

MEDICARE:   JOSE LUIS COLON GONZALEZ  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
1208D00000XGeneral Practice Physician16620PR

General Provider Information

NPI Number : 1205058864
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE LUIS COLON GONZALEZ M.D.
Provider Business Mailing Address
First Line : CALLE JOSE DE DIEGO #95
Second Line :
City : CIALES
State : PR
Zip : 00638-3227
Country : US
Telephone Number : 787-884-9289
Fax Number :
Provider Business Practice Location Address
First Line : CALLE JOSE DE DIEGO #95
Second Line :
City : CIALES
State : PR
Zip : 00638-3227
Country : US
Telephone Number : 787-884-9289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 06/08/2023

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Directions to “ JOSE LUIS COLON GONZALEZ M.D.” Practice Location

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