Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 19953 | PR |
NPI | 1013316132 |
---|---|
Provider Name | Francisco Colon-Rivera |
First Address | Manati, PR 00674 |
Second Address | Ponce, PR 00716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2014 |
Last Update Date | 03/08/2018 |