1679596670 NPI number — CELESTE RODRIGUEZ COLON, M.D., P.S.C.

Table of content: DR. EMILY ANN HUTCHINSON DDS (NPI 1871268946)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679596670 NPI number — CELESTE RODRIGUEZ COLON, M.D., P.S.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CELESTE RODRIGUEZ COLON, M.D., P.S.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679596670
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/18/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 373471
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAYEY
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00737-3471
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-714-2288
Provider Business Mailing Address Fax Number:
787-739-5800

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
CARR 734 KM 0.5 BO ARENAS
Provider Second Line Business Practice Location Address:
CIDRA PROFESSIONAL CENTER OFIC 5
Provider Business Practice Location Address City Name:
CIDRA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00739-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-714-2288
Provider Business Practice Location Address Fax Number:
787-739-5800
Provider Enumeration Date:
07/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RODRIGUEZ-COLON
Authorized Official First Name:
CELESTE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
787-313-0237

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X , with the licence number:  16423 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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