Marietta Colon Casasnovas

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3238 Issued in PR

Practice address

1225 Calle Marginal Villamar
Carolina, PR 00979-6345

Phone

(787) 727-8960

NPI assigned

Apr 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Servicios de Salud Oral, CSP

  • Dentist
  • Carolina, PR
  • NPI 1235284480
  NPD (past)

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1043664980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CALLE MARGINAL VILLAMAR",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009796345",
            "telephone_number": "787-727-8960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213201",
            "country_code": "US",
            "telephone_number": "787-641-7582 x11325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON CASASNOVAS",
        "first_name": "MARIETTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cohen'S Fashion Optical Puerto Rico, Inc
• Gretchen Collazo, MD
• Jose A Colon - Marquez, M.D
• Gabriel Armando Colon - Soto Sr., DMD
• Jaime Enrique Colon Casasnovas, M.D.
• Nazaret Colon Fernandez
• Shalimar Colon Gonzalez, MSW
• Ixian B. Colon Morales, LND, RD
• Janairis Colon Ramos, DC
• Claudia Isabel Colon Rivera, MD, NL

• General Practice Dentistry in Carolina, PR
• Providers in Carolina, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.