Individual provider Active NPI

Angel Wilfredo Hernandez Colon, M.D.

  • Specialist
  • Bayamon, PR
National Provider Identifier
1023012630
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3248 Issued in PR
Practice address
Instituto San Pablo
#66 Santa Cruz St. Ste 501
Bayamon, PR 00961-7041
Phone
(787) 787-1085
Fax
(787) 785-2469
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3248 PR Primary

Addresses

Primary practice location

Instituto San Pablo
#66 Santa Cruz St. Ste 501
Bayamon, PR 00961-7041

Mailing address

Instituto San Pablo
#66 Santa Cruz St . Ste 501
Bayamon, PR 00961-7050
Phone (787) 787-1085

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1023012630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INSTITUTO SAN PABLO",
            "address_2": "#66 SANTA CRUZ ST . STE 501",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617050",
            "telephone_number": "787-787-1085",
            "fax_number": "787-785-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INSTITUTO SAN PABLO",
            "address_2": "#66 SANTA CRUZ ST. STE 501",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617041",
            "telephone_number": "787-787-1085",
            "fax_number": "787-785-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ COLON",
        "first_name": "ANGEL",
        "middle_name": "WILFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.