Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0900X | Dermatopathologist | 5991 | PR |
NPI | 1497716609 |
---|---|
Provider Name | Dr. Nestor Sanchez Colon |
First Address | Aibonito, PR 00705-2042 |
Second Address | Aibonito, PR 00705 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2006 |
Last Update Date | 12/05/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C84123 | (02) | PR |