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NPI Code Detail

MEDICARE: DR. FRANCISCO COLON - FONTANEZ M.D

MEDICARE: DR. FRANCISCO COLON - FONTANEZ 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
1207NP0225XPediatric Dermatology Physician12154PR

General Provider Information

NPI Number : 1811951353
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANCISCO COLON - FONTANEZ M.D
Provider Business Mailing Address
First Line : AN36 PLAZA SAN VICENTE
Second Line : URB. ANTILLANA
City : TRUJILLO ALTO
State : PR
Zip : 00976-6128
Country : US
Telephone Number : 787-292-6112
Fax Number : 787-268-5281
Provider Business Practice Location Address
First Line : 252 CALLE SAN JORGE
Second Line : SUITE 205
City : SANTURCE
State : PR
Zip : 00912-3310
Country : US
Telephone Number : 787-268-5281
Fax Number : 787-268-5281
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2006
Last Update Date : 07/08/2007

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