Individual
KERMIT COLON-QUETLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
CALLE STA CRUZ NUM. 70, URB SANTA CRUZ, BAYAMON, PR 00960-0000
(787) 620-4747
(787) 620-9409
Mailing address
URB PARK GARDENS N-43, CALLE ACADIA, SAN JUAN, PR 00926-2123
(787) 761-8755
(787) 761-8755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5332
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27063
TRIPLE S
PR
Enumeration date
04/20/2007
Last updated
07/08/2007
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