Basic Information
| Provider Information | |||||||||
| NPI: | 1346251808 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VERA COLON | ||||||||
| FirstName: | LUMEN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1327 | ||||||||
| Address2: | |||||||||
| City: | AIBONITO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007051327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877350023 | ||||||||
| FaxNumber: | 7879917474 | ||||||||
| Practice Location | |||||||||
| Address1: | CARRETERA 726 KM 0.4 BO CAONILLAS | ||||||||
| Address2: | HOSPITAL GENERAL MENONITA | ||||||||
| City: | AIBONITO | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007051327 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7877350023 | ||||||||
| FaxNumber: | 7879917474 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/10/2006 | ||||||||
| LastUpdateDate: | 12/10/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 8674 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.