Provider Demographics
NPI:1801052550
Name:GONZALEZ COLON, LUIS FRANCISCO
Entity type:Individual
Prefix:DR
First Name:LUIS
Middle Name:FRANCISCO
Last Name:GONZALEZ COLON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 AVE LUIS MUNOZ MARIN URB VILLA BLANCA
Mailing Address - Street 2:PMB 289
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-648-7171
Mailing Address - Fax:
Practice Address - Street 1:A5 CALLE 1
Practice Address - Street 2:CONDADO MODERNO
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-2411
Practice Address - Country:US
Practice Address - Phone:787-648-7171
Practice Address - Fax:787-961-6086
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2294101YM0800X
MA19604101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health