Provider Demographics
NPI:1588851539
Name:PEREZ COLON, SHEILA D (MD)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:D
Last Name:PEREZ COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:PEREZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 AVE LA SIERRA APT 187
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4362
Mailing Address - Country:US
Mailing Address - Phone:939-475-1414
Mailing Address - Fax:
Practice Address - Street 1:1507 AVE PONCE DE LEON APT 205
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00909-2050
Practice Address - Country:US
Practice Address - Phone:939-475-1414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-03
Last Update Date:2022-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2580392080P0205X
FLME1426532080P0205X
CAC1548712080P0205X
PR0221862080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology