Organization
EYEMED CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAIME COLON (PRESIDENT)
(787) 378-1532
Entity
Organization
Contact information
Practice address
11310 AVE 65 INFANTERIA # KM12.3, CAROLINA, PR 00987-8797
(787) 769-2477
Mailing address
25 AVE MUNOZ RIVERA APT 615, SAN JUAN, PR 00901-2472
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
18345
PR
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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