Active NPI
Gisel M Colon, DR
- Psychologist
- Vega Alta, PR
National Provider Identifier
1063094795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006755
- Practice address
- Barreada Corea, Calle Gustavo Guzman
B-5
Vega Alta, PR 00692 - Phone
- (939) 644-8991
- NPI assigned
- Apr 22, 2021
- Last updated
- Apr 22, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006755 | PR | Primary |
Addresses
Primary practice location
Barreada Corea, Calle Gustavo Guzman
B-5
Vega Alta, PR 00692
Mailing address
Barreada Corea, Calle Gustavo Guzman
B-5
Vega Alta, PR 00692
Phone (939) 644-8991
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006755 | PR | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1063094795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BARREADA COREA, CALLE GUSTAVO GUZMAN",
"address_2": "B-5",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "939-644-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BARREADA COREA, CALLE GUSTAVO GUZMAN",
"address_2": "B-5",
"city": "VEGA ALTA",
"state": "PR",
"postal_code": "00692",
"telephone_number": "939-644-8991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "GISEL",
"middle_name": "M",
"credential": "DR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-22",
"last_updated": "2021-04-22",
"certification_date": "2021-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "006755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vega Alta, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.