Provider Demographics
NPI:1497716609
Name:SANCHEZ COLON, NESTOR (MD)
Entity Type:Individual
Prefix:DR
First Name:NESTOR
Middle Name:
Last Name:SANCHEZ 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 2042
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-2042
Mailing Address - Country:US
Mailing Address - Phone:787-735-8001
Mailing Address - Fax:
Practice Address - Street 1:EDIF PROFESIONAL HOSPITAL MENONITA
Practice Address - Street 2:SUITE 304
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705
Practice Address - Country:US
Practice Address - Phone:787-735-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5991207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC84123Medicare UPIN
PR0097629Medicare ID - Type Unspecified