Organization
JAIME VILLA COLON, C.S.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME R VILLA COLON M.D. (DERMATOLOGIST)
(787) 259-3391
Entity
Organization
Contact information
Practice address
2225 PONCE BY PASS, PARRA BUILDING SUITE 403, PONCE, PR 00717-1320
(787) 259-3391
(787) 259-8474
Mailing address
2225 PONCE BY PASS, PARRA BUILDING SUITE 403, PONCE, PR 00717-1320
(787) 259-3391
(787) 259-8474
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
8852
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89725
SSS
—
Enumeration date
12/13/2007
Last updated
04/27/2017
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