# MR. CARLOS COLON JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790456465
- **Gender:** Man
- **Credential:** MSN, NP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 95018505 | CA | — |
| 363LG0600X | Gerontology Nurse Practitioner | 95018505 | CA | — |
| 363LP2300X | Primary Care Nurse Practitioner | 95018505 | CA | Yes |

## Other

- **Enumeration date:** 09/23/2021
- **Last updated:** 11/15/2025