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Organization
DERICK E. COLON LOPEZ
Active
Organization
DERICK E. COLON LOPEZ
Active
Other names
DERICK E. COLON LOPEZ, PONCE REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
DERICK ENRIQUE COLON LOPEZ MD (PRESIDENT)
(787) 290-4466
Entity
Organization
Contact information
Practice address
TORRE MEDICA SAN LUCAS, 909 TITO CASTRO AVE. SUITE 621, PONCE, PR 00716
(787) 290-4466
(787) 290-8866
Mailing address
BOSQUE SENORIAL, 2621 PALMA DE SIERRA, PONCE, PR 00728
(787) 290-4466
(787) 290-8866
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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