Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0214X | Pediatric Pulmonologist | 6420 | PR |
NPI | 1659345999 |
---|---|
Provider Name | Felix Antonio Colon-Colon |
First Address | Ponce, PR 00732-0480 |
Second Address | Ponce, PR 00717-1548 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2006 |
Last Update Date | 08/07/2007 |