Organization
VDE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID W COLON GOLDEROS MD (PRESIDENT)
(787) 657-5496
Entity
Organization
Contact information
Practice address
ALTURAS DE RIO GRANDE, A23 CALLE 1, RIO GRANDE, PR 00745-2242
(787) 657-5496
(787) 657-5343
Mailing address
PO BOX 1901, CANOVANAS, PR 00729-1901
(787) 466-1434
Taxonomy
Speciality
Code
Description
License number
State
261QC1800X
Corporate Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428235
REGISTRY
PR
Enumeration date
06/03/2019
Last updated
09/11/2019
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