Provider Demographics
NPI:1194069336
Name:VALENTIN COLON, DIANA CAROLINA (MD)
Entity type:Individual
Prefix:DR
First Name:DIANA
Middle Name:CAROLINA
Last Name:VALENTIN COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 CALLE PRINCIPE GUILLERMO
Mailing Address - Street 2:ESTANCIAS REALES
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5333
Mailing Address - Country:US
Mailing Address - Phone:787-387-9970
Mailing Address - Fax:
Practice Address - Street 1:EDIFICIO DE DECANATO DE ESTUDIANTES, OFICINA 502
Practice Address - Street 2:DERMATOLOGIA, RECINTO DE CIENCIAS MEDICAS, CENTRO MEDIC
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-765-7950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR27279282N00000X
PR18762207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No282N00000XHospitalsGeneral Acute Care Hospital