Provider Demographics
NPI:1730335316
Name:RIVERA COLON, GUILLERMO (MD)
Entity type:Individual
Prefix:
First Name:GUILLERMO
Middle Name:
Last Name:RIVERA COLON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:CARR 129 KM 1.1 HOSPITAL PAVIA ARECIBO
Mailing Address - Street 2:INSTITUTO DE CIRUGIA DEL NORTE
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00613
Mailing Address - Country:US
Mailing Address - Phone:787-650-7272
Mailing Address - Fax:787-650-7269
Practice Address - Street 1:CARR 129 KM 1.1 HOSPITAL PAVIA ARECIBO
Practice Address - Street 2:INSTITUTO DE CIRUGIA DEL NORTE
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-650-7272
Practice Address - Fax:787-650-7269
Is Sole Proprietor?:No
Enumeration Date:2008-08-14
Last Update Date:2022-07-21
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR18709208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery