Provider Demographics
NPI:1730224064
Name:COLON, HECTOR GUILLERMO (DMD)
Entity type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:GUILLERMO
Last Name:COLON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1074
Mailing Address - Street 2:
Mailing Address - City:OROCOVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00720-1074
Mailing Address - Country:US
Mailing Address - Phone:787-867-0376
Mailing Address - Fax:787-867-5559
Practice Address - Street 1:FOURTH OF JULY STREET #1
Practice Address - Street 2:SECOND FLOOR
Practice Address - City:OROCOVIS
Practice Address - State:PR
Practice Address - Zip Code:00720
Practice Address - Country:US
Practice Address - Phone:787-867-0376
Practice Address - Fax:787-867-5559
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1658122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist