# ONSITE NEUROLOGY AND RADIOLOGY OF PUERTO RICO

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

## Provider details

- **NPI number:** 1548401078
- **Authorized official:** NELSON COLON MD (MEDICAL DOCTOR)
- **Authorized official phone:** (888) 395-4007

## Contact information

- **Practice address:** 1413 AVE FERNANDEZ JUNCOS, SUITE 2-C, SAN JUAN, PR 00909-2649
- **Practice address phone:** (888) 395-4007
- **Practice address fax:** (888) 395-3941
- **Mailing address:** 89 AVE DE DIEGO, SUITE 105/408, SAN JUAN, PR 00927-6372
- **Mailing address phone:** (888) 395-4007
- **Mailing address fax:** (888) 395-3941

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 11290 | PR | Yes |

## Other

- **Enumeration date:** 03/12/2009
- **Last updated:** 03/12/2009