Santiagocolon, Juan Ramon

Santiagocolon, Juan Ramon is an individual health care provider with primary practice located at 619 S Marion Ave , Lake City FL 32025-5808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Santiagocolon, Juan Ramon can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 S Marion Ave Lake City FL 32025-5808
Phone: (386) 755-3016
Fax: (386) 754-7375
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 15511 Puerto Rico

Profile Details

NPI number 1164628236
LBN Legal business name Santiagocolon, Juan Ramon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Aug 26th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164628236 NPPES
Puerto Rico Other 15511 MEDICAL LICENCE

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