Provider Demographics
NPI:1033249792
Name:RODRIGUEZ-COLON, MAGDA IVETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:MAGDA
Middle Name:IVETTE
Last Name:RODRIGUEZ-COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 CALLE JAIME RODRIGUEZ
Mailing Address - Street 2:URB. SANTA PAULA
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5917
Mailing Address - Country:US
Mailing Address - Phone:787-790-4339
Mailing Address - Fax:
Practice Address - Street 1:37 CALLE JAIME RODRIGUEZ
Practice Address - Street 2:URB. SANTA PAULA
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00969-5917
Practice Address - Country:US
Practice Address - Phone:787-790-4339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2016-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8114207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine