Most Relevant Information
Provider Data
| NPI Number: | 1003453911 |
| Provider Name: | PAOLA ANDREA COLON BONILLA |
| Entity Type: | Individual |
| Taxonomy Code: | 208D00000X |
| Specialty: | General Practice |
| License Number: | 023318 |
Most Important Dates
| Enumeration Date: | 12/10/2019 |
| Last Updated: | 01/23/2024 |
Provider Practice Location
1430 AVE SAN ALFONSO APT 2101
SAN JUAN
PR
009214665
Practice Location Phone/Fax
| Phone: | 7874158606 |
| Fax: |
Provider Mailing Location
HC 2 BOX 4128
COAMO
PR
007699511
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |