Individual
JUAN M COLON IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE JOSE DE DIEGO, AGUADILLA, PR 00603
(787) 658-0200
Mailing address
PO BOX 365067, UPR SCHOOL OF MEDICINE ASSOCIATE DEANSHIP FOR STUDENTS, SAN JUAN, PR 00936-5067
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
22132
PR
208D00000X
General Practice Physician
XXTEMP
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
09/12/2014
Last updated
06/14/2021
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