Provider Demographics
NPI:1891945713
Name:MARTINEZ-COLON, FERNANDO L (MD)
Entity Type:Individual
Prefix:DR
First Name:FERNANDO
Middle Name:L
Last Name:MARTINEZ-COLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 AVE DE LA CONSTITUCION APT 2201
Mailing Address - Street 2:CONDOMINIO ATLANTIS
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00901-4500
Mailing Address - Country:US
Mailing Address - Phone:787-466-6421
Mailing Address - Fax:
Practice Address - Street 1:435 AVE. PONCE DE LEON
Practice Address - Street 2:CONSULTORIO MEDICO 3ER PISO
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00917
Practice Address - Country:US
Practice Address - Phone:787-641-2323
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-27
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18038208C00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery