Most Relevant Information
Provider Data
| NPI Number: | 1003362096 |
| Provider Name: | ISIS SANDOVAL COLON |
| Entity Type: | Individual |
| Taxonomy Code: | 2355S0801X |
| Specialty: | Specialist/Technologist |
| License Number: | 1266 |
Most Important Dates
| Enumeration Date: | 08/30/2016 |
| Last Updated: | 03/23/2017 |
Provider Practice Location
560 CALLE FLAMENCO
URB LOS MONTES
DORADO
PR
00646
Practice Location Phone/Fax
| Phone: | 7873244497 |
| Fax: | 7877961631 |
Provider Mailing Location
560 CALLE FLAMENCO
URB LOS MONTES
DORADO
PR
00646
Provider Mailing Phone/Fax
| Phone: | 7873244497 |
| Fax: | 7877961631 |