Individual
JOSE OSVALDO COLON MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90-80 LUIS MUNOZ RIVERA, HOSPITAL MENONITA AGUAS BUENAS CDT, CAGUAS, PR 00725
(787) 732-5959
Mailing address
PO BOX 615, ARROYO, PR 00714-0615
(787) 414-9391
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14456
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HO171A
MEDICARE PTAN
PR
Enumeration date
06/27/2005
Last updated
11/08/2018
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