Provider Demographics
NPI:1255033429
Name:PEREZ-COLON, JONATHAN JOEL (MD)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:JOEL
Last Name:PEREZ-COLON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 CALLE POPPY APT A9
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6346
Mailing Address - Country:US
Mailing Address - Phone:787-925-9424
Mailing Address - Fax:
Practice Address - Street 1:1 CALLE POPPY APT A9
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-6346
Practice Address - Country:US
Practice Address - Phone:787-925-9424
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program