Individual provider Active NPI

Maria I Martinez Colon, M.D.

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1073554390
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
6435 Issued in PR
Practice address
Ave. Roosevelt # 400
Suite 401
San Juan, PR 00919
Phone
(787) 767-2244
Fax
(787) 754-4901
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 6435 PR Primary

Addresses

Primary practice location

Ave. Roosevelt # 400
Suite 401
San Juan, PR 00919

Mailing address

PO Box 11561
San Juan, PR 00922-1561
Phone (787) 767-2244

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
I20100626000462 PR Practitioner - Dermatology 8628109188 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

400 Ave FD Roosevelt
Suite 401
San Juan, PR 00918-2162
Phone (787) 767-2244

400 Roosevelt Ave
Suite 401
San Juan, PR 00918-2162

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions80
Skin biopsy478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6435PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1073554390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11561",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009221561",
            "telephone_number": "787-767-2244",
            "fax_number": "787-754-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. ROOSEVELT # 400",
            "address_2": "SUITE 401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-767-2244",
            "fax_number": "787-754-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ COLON",
        "first_name": "MARIA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "6435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.