Provider Demographics
NPI:1346251808
Name:VERA COLON, LUMEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LUMEN
Middle Name:
Last Name:VERA 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:PO BOX 1327
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1327
Mailing Address - Country:US
Mailing Address - Phone:787-735-0023
Mailing Address - Fax:787-991-7474
Practice Address - Street 1:CARRETERA 726 KM 0.4 BO CAONILLAS
Practice Address - Street 2:HOSPITAL GENERAL MENONITA
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1327
Practice Address - Country:US
Practice Address - Phone:787-735-0023
Practice Address - Fax:787-991-7474
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2018-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8674207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0080214Medicare PIN
PRE42474Medicare UPIN
PR0080214Medicare ID - Type Unspecified