Individual
MR. JUAN A COLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
HC 20 BOX 10714, JUNCOS, PR 00777-9607
(787) 279-5824
Mailing address
RR01BOX 11385 BO. PINAS, TOA ALTA, PR 00953
(787) 279-5824
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
007746
PR
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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