Individual provider Active NPI

Mirylsa Colon-Martinez, M.D.

  • Orthopaedic Surgery Physician
  • Boca Raton, FL
National Provider Identifier
1043414410
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
ME124264 Issued in FL
Practice address
9970 Central Park Blvd N Ste 402
Boca Raton, FL 33428
Phone
(954) 251-6051
Fax
(954) 653-7207
NPI assigned
Jun 12, 2007
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME124264 FL Primary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X ME124264 FL

Addresses

Primary practice location

9970 Central Park Blvd N Ste 402
Boca Raton, FL 33428

Mailing address

9970 Central Park Blvd N Ste 402
Boca Raton, FL 33428-2236
Phone (954) 251-6051

Other identifiers 1

IdentifierTypeStateIssuer
015543400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160531000474 FL Practitioner - Orthopedic Surgery 5092882902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1601 Clint Moore Rd
Suite 125
Boca Raton, FL 33487-5714
Phone (561) 395-5733

2623 S Seacrest Blvd
Boynton Beach, FL 33435-7532
Phone (561) 620-1653

2623 S Seacrest Blvd
Suite 210
Boynton Beach, FL 33435-7944

2815 S Seacrest Blvd
Bethesda Memorial Hospital
Boynton Beach, FL 33435-7944
Phone (561) 737-7733

7015 Beracasa Way
Boca Raton, FL 33433-3453
Phone (561) 939-2033

9655 W Boynton Beach Blvd
Bethesda Hospital West
Boynton Beach, FL 33472-4421
Phone (561) 336-7000

9868 S State Rd
7 Suite 225
Boynton Beach, FL 33472-4474
Phone (561) 953-1700

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15626PRMDClinical Social Worker
ME124264FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Surgery Associates PA Orthopaedic Surgery CurrentSince Oct 23, 2023 Accepting new patients
Orthopaedic Surgery Associates, PA Orthopaedic Surgery CurrentSince Oct 23, 2023 Accepting new patients
Meli Orthopedic Centers of Excellence,LLC. Orthopaedic Surgery CurrentSince Jan 4, 2016 Accepting new patients
Meli Orthopedic Centers of Excellence, LLC Orthopaedic Surgery Past Accepting new patients
Anesco Interventional Pain Institute, LLC Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 125
Boca Raton, FL 33487
Phone (561) 395-5733

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

4701 N Federal Hwy
Ste A39
Ft Lauderdale, FL 33308
Phone (954) 351-7770

2964 N State Road 7
Ste 205
Margate, FL 33063
Phone (954) 472-5969

Organizations & group practices 6

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 2

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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1043414410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 402",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282236",
            "telephone_number": "954-251-6051",
            "fax_number": "954-653-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N STE 402",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33428",
            "telephone_number": "954-251-6051",
            "fax_number": "954-653-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-MARTINEZ",
        "first_name": "MIRYLSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME124264",
            "primary": true
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "FL",
            "license": "ME124264",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015543400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.