Individual provider Active NPI

Diego Roman Colon

  • Gastroenterology Physician
  • Trujillo Alto, PR
National Provider Identifier
1063973501
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
22406 Issued in PR
Practice address
Edificio Trujillo Alto Medical
Oficina 101
Trujillo Alto, PR 00997
Phone
(787) 722-3627
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 22406 PR Primary

Addresses

Primary practice location

Edificio Trujillo Alto Medical
Oficina 101
Trujillo Alto, PR 00997

Mailing address

210 Ave Chardon
San Juan, PR 00918-1714
Phone (787) 317-2616

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
I20250731000269 PR Practitioner - Gastroenterology 0749796886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality Gastroenterology LLCGroup PAC ID 2860805330, 3 clinicians

Practice addresses (Care Compare)

PR 181 KM
Suite 21
Trujillo Alto, PR 00976
Phone (787) 234-5758

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Gastroenterology LLC Gastroenterology CurrentSince Jul 1, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1063973501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 AVE CHARDON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181714",
            "telephone_number": "787-317-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO TRUJILLO ALTO MEDICAL",
            "address_2": "OFICINA 101",
            "city": "TRUJILLO ALTO",
            "state": "PR",
            "postal_code": "00997",
            "telephone_number": "787-722-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN COLON",
        "first_name": "DIEGO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "22406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trujillo Alto, PR

Sources for this page

Verify at the official NPI Registry.