Individual
JORGE A COLON MORALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
AVE STA JUANITA PLAZA STA JUANITA, M71 STA JUANITA, BAYAMON, PR 00956-4647
(787) 412-5328
Mailing address
PO BOX 1119, BAYAMON, PR 00960-1119
(787) 412-5328
(787) 993-1990
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
17384
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17384
MEDICAL LICENSE
PR
01
—
2108347
DRIVERS LICENCE
PR
Enumeration date
11/03/2008
Last updated
10/07/2016
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