# ALTER EGO ORTHOPEDICS, P.S.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114159563
- **Authorized official:** MIRYLSA COLON-MARTINEZ M.D. (PRESIDENT)
- **Authorized official phone:** (787) 565-5021

## Contact information

- **Practice address:** 369 CALLE DE DIEGO, SUITE 602 TORRE SAN FRANCISCO, SAN JUAN, PR 00923-3003
- **Practice address phone:** (787) 688-3500
- **Practice address fax:** (786) 472-6851
- **Mailing address:** 138 AVE WINSTON CHURCHILL, PMB 675, SAN JUAN, PR 00926-6013
- **Mailing address phone:** (787) 688-3500
- **Mailing address fax:** (786) 472-6851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 15626 | PR | Yes |

## Other

- **Enumeration date:** 08/19/2009
- **Last updated:** 08/06/2013