Individual provider Active NPI

Nayraliz Colon-Nieves, M.D.

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1013148097
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17636 Issued in PR
Practice address
Has - Healthcare Ambulatory, Inc.
Plaza del Carmen Mall #24 Carr #172
Caguas, PR 00727
Phone
(787) 685-9520
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17636 PR Primary

Addresses

Primary practice location

Has - Healthcare Ambulatory, Inc.
Plaza del Carmen Mall #24 Carr #172
Caguas, PR 00727

Mailing address

Urb Sierra Berdecia
Calle Benitez G-22
Guaynabo, PR 00969
Phone (787) 685-9520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429000124 PR Practitioner - General Practice 2860822111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Ambulatory Services IncGroup PAC ID 7810092525, 10 clinicians

Practice addresses (Care Compare)

Plaza del Carmen Mall
Suite 24
Caguas, PR 00725-0072

Plaza del Carmen Mall
Suite 24
Caguas, PR 00726-0072
Phone (787) 286-6060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
17636PRMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vidalus LLC CurrentSince Jun 20, 2023 Accepting new patients
Healthcare Ambulatory Services Inc. PastSince May 3, 2020 Accepting new patients
Sar Medical Services LLC General Practice PastSince May 3, 2020 Accepting new patients

Locations

677 Calle Felipe Gutierrez
San Juan, PR 00924
Phone (561) 578-1730

Interoperability endpoints

  • Direct secure messaging: nayraliz.colonnieves@4048.securemail.prognocis.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1013148097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SIERRA BERDECIA",
            "address_2": "CALLE BENITEZ G-22",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-685-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HAS - HEALTHCARE AMBULATORY, INC.",
            "address_2": "PLAZA DEL CARMEN MALL #24 CARR #172",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00727",
            "telephone_number": "787-685-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-NIEVES",
        "first_name": "NAYRALIZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.