Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 18911 | PR |
NPI | 1013140334 |
---|---|
Provider Name | Dr. Norman Enrique Colon-Casasnovas |
First Address | Dorado, PR 00646-4817 |
Second Address | Dorado, PR 00646-0000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/09/2009 |
Last Update Date | 27/01/2022 |