Provider Demographics
NPI:1043654015
Name:COLON-PONS, JEAN PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:JEAN
Middle Name:PAUL
Last Name:COLON-PONS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1380 LUSITANA ST STE 1007A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-2461
Mailing Address - Country:US
Mailing Address - Phone:808-748-4700
Mailing Address - Fax:808-536-3008
Practice Address - Street 1:1380 LUSITANA ST STE 1007
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-748-4488
Practice Address - Fax:808-748-4799
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-22
Last Update Date:2018-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD-197022085R0202X
PR030043208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice