Provider Demographics
NPI:1295811545
Name:GARCIA COLON, LUIS O (MD)
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:O
Last Name:GARCIA 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:HC 2 BOX 7005
Mailing Address - Street 2:
Mailing Address - City:COMERIO
Mailing Address - State:PR
Mailing Address - Zip Code:00782-9611
Mailing Address - Country:US
Mailing Address - Phone:787-875-2847
Mailing Address - Fax:787-875-2847
Practice Address - Street 1:CARR 780 KM 01 BO PALOMA
Practice Address - Street 2:
Practice Address - City:COMERIO
Practice Address - State:PR
Practice Address - Zip Code:00782
Practice Address - Country:US
Practice Address - Phone:787-875-2847
Practice Address - Fax:787-875-2847
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16571208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice