Provider Demographics
NPI:1033264171
Name:RODRIGUEZ COLON, GERMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:GERMAN
Middle Name:
Last Name:RODRIGUEZ COLON
Suffix:
Gender:M
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:URB HACIENDA FLORIDA
Mailing Address - Street 2:CALLE JAZMIN 681
Mailing Address - City:YAUCO
Mailing Address - State:PR
Mailing Address - Zip Code:00698
Mailing Address - Country:US
Mailing Address - Phone:787-216-2237
Mailing Address - Fax:
Practice Address - Street 1:URB HACIENDA FLORIDA
Practice Address - Street 2:CALLE JAZMIN 681
Practice Address - City:YAUCO
Practice Address - State:PR
Practice Address - Zip Code:00698
Practice Address - Country:US
Practice Address - Phone:787-216-2237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15771207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR15771OtherPROFESIONAL LICENCE