Provider Demographics
NPI:1659345999
Name:COLON-COLON, FELIX ANTONIO (MD)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:ANTONIO
Last Name:COLON-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 10480
Mailing Address - Street 2:
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00732-0480
Mailing Address - Country:US
Mailing Address - Phone:787-840-6615
Mailing Address - Fax:787-840-6615
Practice Address - Street 1:8129 CALLE CONCORDIA
Practice Address - Street 2:SUITE 301
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717-1548
Practice Address - Country:US
Practice Address - Phone:787-840-6615
Practice Address - Fax:787-840-6615
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR64202080P0214X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0214XAllopathic & Osteopathic PhysiciansPediatricsPediatric Pulmonology