Individual
JUAN CARLOS COLON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ROAD # 2 KM 30.5, VEGA ALTA, PR 00692
(787) 608-9381
Mailing address
ROAD # 2 KM 30.5, VEGA ALTA, PR 00692
(787) 608-9381
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1401
PR
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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