Ivan Colon Alvarado, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22154 Issued in PR

Practice address

359 Calle San Claudio Ste 201
San Juan, PR 00926-4257

Phone

(787) 292-8700

Fax

(787) 292-8700

NPI assigned

Oct 20, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physician H.M.O. Inc.

  • Intermediate Emergency Medical Technician
  • San Juan, PR
  • NPI 1730481649
  Medicare reassignment NPD
• Biene-Star Medical Services LLC

  • General Practice Physician
  • San Juan, PR
  • NPI 1316853351
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1033513007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 CALLE E DORS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266941",
            "telephone_number": "787-487-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 CALLE SAN CLAUDIO STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264257",
            "telephone_number": "787-292-8700",
            "fax_number": "787-292-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON ALVARADO",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39203102",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39203101",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39203100",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirleen M Collazo, PH.D
• Ana T Colmenero
• Jose Luis Colmenero, DMD
• Heydi Colon Alicea, OTL
• Regino Colon Alsina, M.D.
• Abneris Marie Colon Aquino
• Brigida Y Colon Barreto, MD
• Sara Sofia Colon Berrios
• Paola Andrea Colon Bonilla
• Merida S. Colon Caban, M.D.

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.