Active NPIIndividual providerSole proprietor

Dr. Derick E Colon Lopez, MD

Physical Medicine & Rehabilitation in Ponce, Puerto Rico

NPI Number1689663858
Practice location
Ponce Rehab - Torre Medica San Lucas, 909 Tito Castro Ave. Suite 621, Ponce, PR 00716
Fax
787-290-8866
Last updated
April 9, 2020

Derick E. Colon Lopez is a Physical Medicine & Rehabilitation based in Ponce, PR. Derick E. Colon Lopez practices in Ponce, PR and has the professional credentials of MD. The NPI Number for Derick E. Colon Lopez is 1689663858 and holds a License No. 12965 (PR). The current practice location address for Derick E. Colon Lopez is Ponce Rehab - Torre Medica San Lucas, 909 Tito Castro Ave. Suite 621, Ponce, PR 00716 and can be reached out via phone at 787-290-4466 and via fax at 787-290-8866.

Provider Profile Details

NPI Number
1689663858
Provider Name
Derick E. Colon Lopez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Ponce Rehab - Torre Medica San Lucas, 909 Tito Castro Ave. Suite 621, Ponce, PR 00716
Phone Number
787-290-4466
Fax Number
787-290-8866
Primary Taxonomy
Physical Medicine & Rehabilitation · 208100000X
Sole Proprietor
Yes
Provider Enumeration Date
October 19, 2005
Last Update Date
April 9, 2020
Certification Date
April 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ponce Rehab - Torre Medica San Lucas
909 Tito Castro Ave. Suite 621
Ponce, PR 00716
City
Ponce
Zip
00716
Phone Number
787-290-4466
Fax Number
787-290-8866
Ponce, PR 00716Get directions →

Provider Business Mailing Address Details

Address
Bosque Senorial
2621 Palma De Sierra
Ponce, PR 00728
City
Ponce
State
PR
Zip
00728
Phone Number
787-677-8824
Fax Number
787-290-8866

License Information

License Number
12965
License State
PR
Taxonomy
Physical Medicine & Rehabilitation · 208100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Derick E Colon Lopez, MD?

The NPI number of Dr. Derick E Colon Lopez, MD is 1689663858. It was assigned on October 19, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Derick E Colon Lopez, MD?

Dr. Derick E Colon Lopez, MD is registered under the primary taxonomy Physical Medicine & Rehabilitation (code 208100000X), licensed in PR under license number 12965.

Where does Dr. Derick E Colon Lopez, MD practice?

The practice location is Ponce Rehab - Torre Medica San Lucas, 909 Tito Castro Ave. Suite 621, Ponce, PR 00716. The office can be reached at 787-290-4466 (phone) or 787-290-8866 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689663858 directly on the NPPES registry website.

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