Individual provider Active NPI

German Rodriguez Colon, MD

  • Internal Medicine Physician
  • Yauco, PR
National Provider Identifier
1033264171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
15771 Issued in PR
Practice address
Urb Hacienda Florida
Calle Jazmin 681
Yauco, PR 00698
Phone
(787) 216-2237
NPI assigned
Jan 25, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15771 PR Primary

Addresses

Primary practice location

Urb Hacienda Florida
Calle Jazmin 681
Yauco, PR 00698

Mailing address

Urb Hacienda Florida
Calle Jazmin 681
Yauco, PR 00698
Phone (787) 216-2237

Other identifiers 1

IdentifierTypeStateIssuer
15771OtherPRPROFESIONAL LICENCE

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
I20051020000142 PR Practitioner - Internal Medicine 0244256121 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ponce School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bella Vista Hospital IncGroup PAC ID 6507831351, 14 clinicians

Practice addresses (Care Compare)

770 Ave Hostos
Mayaguez, PR 00682-1551
Phone (787) 834-6161

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15771PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bella Vista Hospital, Inc CurrentSince Jun 10, 2020 Accepting new patients
Bella Vista Hospital, Inc CurrentSince Jun 10, 2020 Accepting new patients
Bella Vista Hospital Inc Past Accepting new patients
Policlinica Dr. Radames Marin Inc Internal Medicine PastSince Aug 23, 1993 Accepting new patients
Centro de Vacunacion Policlinica Dr. Radames Marin, Inc. Past Accepting new patients

Locations

770 Ave Hostos
#M
Mayaguez, PR 00682

Organizations & group practices 5

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1033264171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB HACIENDA FLORIDA",
            "address_2": "CALLE JAZMIN 681",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-216-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB HACIENDA FLORIDA",
            "address_2": "CALLE JAZMIN 681",
            "city": "YAUCO",
            "state": "PR",
            "postal_code": "00698",
            "telephone_number": "787-216-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ COLON",
        "first_name": "GERMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "15771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESIONAL LICENCE",
            "identifier": "15771",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yauco, PR

Sources for this page

Verify at the official NPI Registry.