Provider Demographics
NPI:1649289612
Name:COLON-ROIG, MARIA DEL CARMEN (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DEL CARMEN
Last Name:COLON-ROIG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:COLON-ROIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:BAYAMON MEDICAL PLAZA OFICINA 808
Mailing Address - Street 2:CENTRO FISIATRICO
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:CENTRO FISIATRICO - DRA. MARIA DEL C. COLON ROIG
Practice Address - Street 2:BAYAMON MEDICAL PLAZA OFFICE 808
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-785-4410
Practice Address - Fax:787-785-4412
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11055174400000X, 208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
83605OtherSSS PROVIDER NUMBER
83454OtherMEDICARE PROVIDER NUMBER
83454OtherMEDICARE PROVIDER NUMBER