Organization
PHYSIATRY CENTER, P. S. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE L. COLON- DUENO M.D. (PRESIDENT)
(787) 748-1726
Entity
Organization
Contact information
Practice address
12 CALLE H MENDOZA, CAYEY, PR 00736
(787) 263-6464
(787) 263-6466
Mailing address
PO BOX 195004, SAN JUAN, PR 00919-5004
(787) 748-1726
(787) 748-1726
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
7249
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7360021
HUMANA
PR
01
—
84762PH
TRIPLE-S
PR
Enumeration date
12/02/2005
Last updated
08/22/2020
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