Edgar Luis Colon Marcano, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5411 Issued in PR

Practice address

1007 Ave Munoz Rivera
Cond. Darlington Suite 202
San Juan, PR 00925-2717

Phone

(787) 688-8756

NPI assigned

Aug 21, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Aps Clinics of Puerto Rico, Inc.

  • Adult Mental Health Clinic/Center
  • San Juan, PR
  • NPI 1336194448
  NPD (past)

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408579200000",
    "number": "1073912416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860579",
            "telephone_number": "787-371-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 AVE MUNOZ RIVERA",
            "address_2": "COND. DARLINGTON SUITE 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009252717",
            "telephone_number": "787-688-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MARCANO",
        "first_name": "EDGAR",
        "middle_name": "LUIS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Colon Donate, MD
• Claudia Isabel Colon Farrulla
• Diana M Colon Gorbea, M.D.
• Adrian Colon Laracuente
• Carmen Norely Colon Maldonado, LND
• Alfredo Colon Martinez, M.D.
• Jorge Gabriel Colon Martinez, M.D.
• Lismary Colon Matias, M.S.
• Lizmar Colon Matias, MSW
• Yaritza M. Colon Melendez, PH.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.