Individual ProviderJaquelin Colon MarinGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressAve. Dr. Susoni 284 B, Hatillo, PR 00659(787) 898-3387PECOS EnrollmentBased on the most recent information from CMS, provider Jaquelin Colon Marin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750452504Provider TypeIndividualFull NameColon Marin, JaquelinTitleMrs.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date11/13/2006Last Updated4/4/2012Contact InformationPractice LocationPractice AddressAve. Dr. Susoni 284 B, Hatillo, PR 00659Phone(787) 898-3387Fax(787) 898-3387Mailing LocationMailing AddressPO Box 1956, Hatillo, PR 00659Phone(787) 898-3387Fax(787) 898-3387Provider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense13833Puerto Rico