Organization
SERVICIOS MEDICOS ILUMINA-TUS, CSP
Active
Other names
Ilumina-Tus
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR A COLON-SANCHEZ M.D. (PRESIDENT)
(787) 604-4589
Entity
Organization
Contact information
Practice address
2069 CALLE BUENOS AIRES, SAN JUAN, PR 00911-1756
(787) 723-5574
(787) 721-4035
Mailing address
352 CALLE DEL PARQUE, SAN JUAN, PR 00912-3702
(787) 723-5574
(787) 721-4035
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
PR
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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