Provider Demographics
NPI:1174501373
Name:COLON SANCHEZ, NESTOR ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:ALBERTO
Last Name:COLON SANCHEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:#155 CELIS AGUILERA ST
Mailing Address - Street 2:
Mailing Address - City:FAJARDO
Mailing Address - State:PR
Mailing Address - Zip Code:00738
Mailing Address - Country:US
Mailing Address - Phone:787-863-8580
Mailing Address - Fax:787-863-8580
Practice Address - Street 1:#155 CELIS AGUILERA ST
Practice Address - Street 2:
Practice Address - City:FAJARDO
Practice Address - State:PR
Practice Address - Zip Code:00738
Practice Address - Country:US
Practice Address - Phone:787-863-8580
Practice Address - Fax:787-863-8580
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-06
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5763208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics