Individual
GLORIA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
252 CALLE SAN JORGE, SUITE 504, SANTURCE, PR 00912-3310
(787) 728-1575
(787) 726-0402
Mailing address
3037 VIA PELICANOS, CAMINO DEL MAR, TOA BAJA, PR 00949-4387
(787) 728-1575
(787) 726-0402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
009183
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6605457453
MEDICAL CARD SYSTEM
PR
01
—
81624
TRIPLES INC.
PR
01
—
9120246
HUMANA HEALTH CARE
PR
Enumeration date
12/08/2005
Last updated
10/11/2012
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