Provider Demographics
NPI:1043439870
Name:COLON PENA, ARISTIDES (MD,)
Entity type:Individual
Prefix:MR
First Name:ARISTIDES
Middle Name:
Last Name:COLON PENA
Suffix:
Gender:
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C13 PERLA CARIBE
Mailing Address - Street 2:MANS MONTE VERDE
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00736-4156
Mailing Address - Country:US
Mailing Address - Phone:787-371-2550
Mailing Address - Fax:
Practice Address - Street 1:309 RINCON SECTOR LOMA CARR 14 INTERIOR KM 0.3
Practice Address - Street 2:
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00737-2800
Practice Address - Country:US
Practice Address - Phone:787-371-2550
Practice Address - Fax:787-738-1434
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15049207Q00000X, 207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR002-2508Medicare ID - Type Unspecified
PRI-21360Medicare UPIN