Provider Demographics
NPI:1144205485
Name:COLON-VAQUER, JOSE M (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:M
Last Name:COLON-VAQUER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 76
Mailing Address - Street 2:
Mailing Address - City:MANATI
Mailing Address - State:PR
Mailing Address - Zip Code:00674-0076
Mailing Address - Country:US
Mailing Address - Phone:787-854-3545
Mailing Address - Fax:787-854-3555
Practice Address - Street 1:SUITE 104
Practice Address - Street 2:MANATI MEDICAL CENTER URB ATENAS
Practice Address - City:MANATI
Practice Address - State:PR
Practice Address - Zip Code:00674
Practice Address - Country:US
Practice Address - Phone:787-854-3545
Practice Address - Fax:787-854-3555
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR7080207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology