MEDICARE: DR. JOSE R. COLON PEREZ MD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	8262	PR
2	207RC0000X	Cardiovascular Disease Physician	008262	PR
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	008262	PR
4	207RP1001X	Pulmonary Disease Physician	008262	PR
5	2086S0129X	Vascular Surgery Physician	008262	PR
6	2085U0001X	Diagnostic Ultrasound Physician	008262	PR
7	2086S0102X	Surgical Critical Care Physician	008262	PR
8	202K00000X	Phlebology Physician	008262	PR

General Provider Information

NPI Number	:	1689659088
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE R. COLON PEREZ MD

Provider Business Mailing Address
First Line	:	PO BOX 8340
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00910-0340
Country	:	US
Telephone Number	:	787-723-2202
Fax Number	:	787-723-1955

Provider Business Practice Location Address
First Line	:	1420 CALLE AMERICO SALAS
Second Line	:	STE 202
City	:	SAN JUAN
State	:	PR
Zip	:	00909-2139
Country	:	US
Telephone Number	:	787-723-2202
Fax Number	:	787-723-1955

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	04/11/2011

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