Individual
DR. LUIS M. TAVEIRA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 CEDAR ST, NEW HAVEN, CT 06510-3206
(203) 785-2385
Mailing address
880 PACIFIC ST APT 662, STAMFORD, CT 06902-0727
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
021504
PR
2085R0202X
Diagnostic Radiology Physician
Primary
71108
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/21/2017
Last updated
06/01/2023
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