Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | 030043 | PR |
NPI | 1043654015 |
---|---|
Provider Name | Dr. Jean Paul Colon-Pons |
First Address | Honolulu, HI 96813-2461 |
Second Address | Honolulu, HI 96813 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2013 |
Last Update Date | 28/09/2018 |