Provider Demographics
NPI:1598763658
Name:FRONTERA COLON & SUAREZ - RADIOLOGOS PSC
Entity Type:Organization
Organization Name:FRONTERA COLON & SUAREZ - RADIOLOGOS PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:COLON LOYOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-314-0999
Mailing Address - Street 1:PO BOX 6470
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-6470
Mailing Address - Country:US
Mailing Address - Phone:787-265-3730
Mailing Address - Fax:787-265-3730
Practice Address - Street 1:1065 AVE LOS CORAZONES
Practice Address - Street 2:EDIF MEDICO PROFESIONAL; OFIC 110-111
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-7060
Practice Address - Country:US
Practice Address - Phone:787-831-5922
Practice Address - Fax:787-831-5922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-12
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR103002085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty