Provider Demographics
NPI:1942250949
Name:COLON, VICENTE ARTURO (DMD)
Entity Type:Individual
Prefix:DR
First Name:VICENTE
Middle Name:ARTURO
Last Name:COLON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:973 YABOA REAL
Mailing Address - Street 2:COUNTRY CLUB
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-3315
Mailing Address - Country:US
Mailing Address - Phone:787-752-0080
Mailing Address - Fax:787-752-0089
Practice Address - Street 1:973 CALLE YABOA REAL
Practice Address - Street 2:COUNTRY CLUB
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00924-3315
Practice Address - Country:US
Practice Address - Phone:787-752-0080
Practice Address - Fax:787-752-0089
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9091223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice