Provider Demographics
NPI:1649607797
Name:CHRISTIAN COLON PEREZ
Entity type:Organization
Organization Name:CHRISTIAN COLON PEREZ
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DUENO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:939-217-4500
Mailing Address - Street 1:HC 2 BOX 5612
Mailing Address - Street 2:
Mailing Address - City:VILLALBA
Mailing Address - State:PR
Mailing Address - Zip Code:00766-9725
Mailing Address - Country:US
Mailing Address - Phone:939-217-4500
Mailing Address - Fax:787-259-3292
Practice Address - Street 1:CARR 150 D 11 BDA SAN ANTONIO
Practice Address - Street 2:
Practice Address - City:COAMO
Practice Address - State:PR
Practice Address - Zip Code:00769
Practice Address - Country:US
Practice Address - Phone:939-217-4500
Practice Address - Fax:787-558-8674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR46130933416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR4613093OtherLICENCIA CONDUCIR