Basic Information
Provider Information
NPI: 1831619873
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLON
FirstName: HECTOR
MiddleName: MIGUEL
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: 28 B-9 CALLE REY JUAN CARLOS
Address2: URB CAMPO REAL
City: LAS PIEDRAS
State: PR
PostalCode: 00771
CountryCode: US
TelephoneNumber: 7879003899
FaxNumber:  
Practice Location
Address1: PASEO DR. JOSE CELSO BARBOSA
Address2: UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS
City: SAN JUAN
State: PR
PostalCode: 009365067
CountryCode: US
TelephoneNumber: 7877582525
FaxNumber: 7877581327
Other Information
ProviderEnumerationDate: 06/21/2017
LastUpdateDate: 07/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 07/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X022314PRY Allopathic & Osteopathic PhysiciansAnesthesiology 
390200000X PRN Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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