Provider Demographics
NPI:1639165418
Name:COLON, LUIS FRANCISCO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:COLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1000 CARR 877
Mailing Address - Street 2:COND. MONTE REAL BOX 116
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-8211
Mailing Address - Country:US
Mailing Address - Phone:787-613-4954
Mailing Address - Fax:787-283-1795
Practice Address - Street 1:1000 CARR 877
Practice Address - Street 2:COND. MONTE REAL BOX 116
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-8211
Practice Address - Country:US
Practice Address - Phone:787-613-4954
Practice Address - Fax:787-283-1795
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR16046208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice