Individual
STEPHANIE COLON-LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
BAYAMON MEDICAL CENTER SUITE 403, KM 11.7 PR-2, BAYAMON, PR 00959
(787) 602-1243
Mailing address
COND. PASEOMONTE #381 APT. 1011, AVE. FELISA RINCON DE GAUTIER, SAN JUAN, PR 00926
(787) 504-8012
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19285
PR
207RN0300X
Nephrology Physician
Primary
19285
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2014
Last updated
07/30/2019
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