Provider Demographics
NPI:1801208558
Name:DR CARLOS COLON, PSC
Entity type:Organization
Organization Name:DR CARLOS COLON, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLON GOMEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-843-3661
Mailing Address - Street 1:2225 PONCE BY PASS
Mailing Address - Street 2:SUITE 807 PARRA MEDICAL PLAZA
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00717
Mailing Address - Country:US
Mailing Address - Phone:787-843-3661
Mailing Address - Fax:787-843-3691
Practice Address - Street 1:2225 PONCE BY PASS
Practice Address - Street 2:SUITE 807 PARRA MEDICAL PLAZA
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00717
Practice Address - Country:US
Practice Address - Phone:787-843-3661
Practice Address - Fax:787-843-3691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-29
Last Update Date:2014-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty