Provider Demographics
NPI:1013140334
Name:COLON-CASASNOVAS, NORMAN ENRIQUE (MD)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:ENRIQUE
Last Name:COLON-CASASNOVAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:NORMAN
Other - Middle Name:E
Other - Last Name:COLON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:425 CARR 693 STE 1
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-4817
Mailing Address - Country:US
Mailing Address - Phone:787-360-0680
Mailing Address - Fax:939-697-6110
Practice Address - Street 1:CARR 693 ESQUINA AVE JOSE EFRAIN
Practice Address - Street 2:DOCTORS CENTER CLINIC DORADO PLAZA DORADA SHOPPING #24
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-0000
Practice Address - Country:US
Practice Address - Phone:787-360-0680
Practice Address - Fax:939-697-6110
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18911208800000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Yes208800000XAllopathic & Osteopathic PhysiciansUrology