Individual
DR. DERICK E. COLON LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
PONCE REHAB - TORRE MEDICA SAN LUCAS, 909 TITO CASTRO AVE. SUITE 621, PONCE, PR 00716
(787) 290-4466
(787) 290-8866
Mailing address
BOSQUE SENORIAL, 2621 PALMA DE SIERRA, PONCE, PR 00728
(787) 677-8824
(787) 290-8866
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12965
PR
Other
Enumeration date
10/19/2005
Last updated
04/09/2020
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