Provider Demographics
NPI:1881662203
Name:COLON, ENID M (MD)
Entity Type:Individual
Prefix:DR
First Name:ENID
Middle Name:M
Last Name:COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1813
Mailing Address - Street 2:
Mailing Address - City:AIBONITO
Mailing Address - State:PR
Mailing Address - Zip Code:00705-1813
Mailing Address - Country:US
Mailing Address - Phone:787-857-3888
Mailing Address - Fax:787-857-3888
Practice Address - Street 1:52 BALDORIOTY
Practice Address - Street 2:
Practice Address - City:AIBONITO
Practice Address - State:PR
Practice Address - Zip Code:00705-1813
Practice Address - Country:US
Practice Address - Phone:787-857-3888
Practice Address - Fax:787-857-3888
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-10
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR8864208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics