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Organization

MMC MED GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUAN COLON MD (MBR)
(787) 804-0399
Entity
Organization

Contact information

Practice address
MAYAGUEZ MEDICAL CENTER, HOSTOS AVE RD #2 1ST FLOOR STE 103, MAYAGUEZ, PR 00680
(787) 652-9200
Mailing address
PO BOX 1179, SABANA GRANDE, PR 00637
(787) 804-0399

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/07/2019
Last updated
05/07/2019
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