Active NPIIndividual providerSole proprietor

Kermit Colon-Quetlas, MD

Internal Medicine in Bayamon, Puerto Rico

NPI Number1790902591
Practice location
Calle Sta Cruz Num. 70, Urb Santa Cruz, Bayamon, PR 00960-0000
Fax
787-620-9409
Last updated
July 8, 2007

Kermit Colon-Quetlas is an Internal Medicine based in Bayamon, PR. Kermit Colon-Quetlas practices in Bayamon, PR and has the professional credentials of MD. The NPI Number for Kermit Colon-Quetlas is 1790902591 and holds a License No. 5332 (PR). The current practice location address for Kermit Colon-Quetlas is Calle Sta Cruz Num. 70, Urb Santa Cruz, Bayamon, PR 00960-0000 and can be reached out via phone at 787-620-4747 and via fax at 787-620-9409.

Provider Profile Details

NPI Number
1790902591
Provider Name
Kermit Colon-Quetlas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Calle Sta Cruz Num. 70, Urb Santa Cruz, Bayamon, PR 00960-0000
Phone Number
787-620-4747
Fax Number
787-620-9409
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Other Names
-- Kermit Colon, MD (Former Name)
Provider Enumeration Date
April 20, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Sta Cruz Num. 70
Urb Santa Cruz
Bayamon, PR 00960-0000
Zip
00960-0000
Phone Number
787-620-4747
Fax Number
787-620-9409
Bayamon, PR 00960Get directions →

Provider Business Mailing Address Details

Address
Urb Park Gardens N-43
Calle Acadia
San Juan, PR 00926-2123
City
San Juan
State
PR
Zip
00926-2123
Phone Number
787-761-8755
Fax Number
787-761-8755

License Information

License Number
5332
License State
PR
Taxonomy
Internal Medicine · 207R00000X · 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 Kermit Colon-Quetlas, MD?

The NPI number of Kermit Colon-Quetlas, MD is 1790902591. It was assigned on April 20, 2007 and is currently active in the NPPES registry.

What is the specialty of Kermit Colon-Quetlas, MD?

Kermit Colon-Quetlas, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 5332.

Where does Kermit Colon-Quetlas, MD practice?

The practice location is Calle Sta Cruz Num. 70, Urb Santa Cruz, Bayamon, PR 00960-0000. The office can be reached at 787-620-4747 (phone) or 787-620-9409 (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 1790902591 directly on the NPPES registry website.

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