Individual
DR. EDGAR NICOLAS COLON DE-JESUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BO OLIMPO C3 NUM 732, GUAYAMA, PR 00784
(787) 358-8800
Mailing address
BO OLIMPO C3 NUM 732, GUAYAMA, PR 00784
(787) 358-8800
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
022633
PR
363A00000X
Physician Assistant
047
PR
Other
Enumeration date
08/04/2020
Last updated
03/01/2022
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