Individual
DR. EDNA S. COLON ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLE 16,C-17,VILLA HUMACAO, HUMACAO, PR 00792-0554
(787) 852-0129
(787) 801-2900
Mailing address
CALLE 16,C-17,VILLA HUMACAO, P.O.BOX 554, HUMACAO, PR 00792-0554
(787) 852-0129
(787) 801-2900
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
5964
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5964
STATE LICENSE,PUERTO RICO
PR
Enumeration date
05/16/2007
Last updated
07/09/2007
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