Provider Demographics
NPI:1427088822
Name:RIVERA-COLON, YAMIL CESAR (MD)
Entity type:Individual
Prefix:DR
First Name:YAMIL
Middle Name:CESAR
Last Name:RIVERA-COLON
Suffix:
Gender:M
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:PO BOX 8550
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00910-8550
Mailing Address - Country:US
Mailing Address - Phone:787-475-6271
Mailing Address - Fax:
Practice Address - Street 1:1395 SAN RAFAEL APDO 11338
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00910-3428
Practice Address - Country:US
Practice Address - Phone:787-772-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15294207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR24783Medicare ID - Type Unspecified