Kermit Colon-quetlas MD

NPI 1790902591 - Internal Medicine - 207R00000X

NPI Details
NPI 1790902591
Gender Male
Enumeration Date 04/20/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
CALLE STA CRUZ NUM. 70
URB SANTA CRUZ
BAYAMON PR, 00960-0000, US
Phone (787) 620-4747
Fax (787) 620-9409
Business Location
URB PARK GARDENS N-43
CALLE ACADIA
SAN JUAN PR, 00926-2123, US
Phone (787) 761-8755
Fax (787) 761-8755
Toxanomy
Taxonomy Code 207R00000X
License State Puerto Rico
License Number 5332
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According to our database, Kermit Colon-quetlas MD NPI is 1790902591, taxonomy code is 207R00000X and license number is 5332, license state is located at Puerto Rico. Kermit Colon-quetlas MD physically located at Calle Sta Cruz Num. 70, Bayamon PR, 00960-0000. NPI Number Kermit Colon-quetlas MD has the Individual type.

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1790902591 NPI number is provided on an as is basis without warranty of any kind. 1790902591 is maintained by the National Plan & Provider Enumeration System. The contents of Kermit Colon-quetlas MD are for informational purposes only.