Provider Demographics
NPI:1669494951
Name:COLON, MINETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:MINETTE
Middle Name:
Last Name:COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3532 COND THE RESIDENCES
Mailing Address - Street 2:1711 PARQUE ESCORIAL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-5044
Mailing Address - Country:US
Mailing Address - Phone:787-378-7698
Mailing Address - Fax:
Practice Address - Street 1:3532 COND THE RESIDENCES
Practice Address - Street 2:1711 PARQUE ESCORIAL
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-5044
Practice Address - Country:US
Practice Address - Phone:787-378-7698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14156207P00000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine