Provider Demographics
NPI:1356346019
Name:COLON - LEON, JOSE RAMON (MD)
Entity type:Individual
Prefix:DR
First Name:JOSE
Middle Name:RAMON
Last Name:COLON - LEON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 40987
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00940-0987
Mailing Address - Country:US
Mailing Address - Phone:787-724-7759
Mailing Address - Fax:787-724-7766
Practice Address - Street 1:CALLE VICTORIA
Practice Address - Street 2:1559 1-B
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912
Practice Address - Country:US
Practice Address - Phone:787-724-7759
Practice Address - Fax:787-724-7766
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-17
Last Update Date:2016-09-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR6480208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics