NPI 1346077104

Eliezer Colon

Practitioner Driver Corozal, PR

Practice location

Address: Hc 3 Box 16530, Corozal, PR 00783-9277
Phone: (939) 256-0066

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 4817239 (PR)

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Registry record

NPI: 1346077104
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Sep 2024
Record last updated: 16 Sep 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.