Basic Information
Provider Information
NPI: 1225233802
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RODRIGUEZ-COLON
FirstName: JULIO
MiddleName: CESAR
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 5992
Address2:  
City: CAGUAS
State: PR
PostalCode: 007265992
CountryCode: US
TelephoneNumber: 7874380222
FaxNumber:  
Practice Location
Address1: 100 AVE LUIS MUNOZ MARIN
Address2:  
City: CAGUAS
State: PR
PostalCode: 007256184
CountryCode: US
TelephoneNumber: 7876533434
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/15/2007
LastUpdateDate: 06/03/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084N0400XME103337FLN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
2084V0102XME103337FLN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology
2084V0102X18418PRY Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyVascular Neurology

No ID Information.


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