Active NPI
Edgardo Jose Colon
- Occupational Therapist
- San Juan, PR
National Provider Identifier
1093300931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1317
- Practice address
- 500 Calle Baez
San Juan, PR 00917-5020 - Phone
- (787) 767-6710
- NPI assigned
- Mar 3, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1317 | PR | Primary |
Addresses
Primary practice location
500 Calle Baez
San Juan, PR 00917-5020
Mailing address
93 Calle Begonia
Estancias de Monte Rio
Cayey, PR 00736
Phone (787) 590-8341
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1317 | PR | MD | Nutritionist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aos Peds Rehab, LLC | Single Specialty | Past | 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": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614729600000",
"number": "1093300931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 CALLE BEGONIA",
"address_2": "ESTANCIAS DE MONTE RIO",
"city": "CAYEY",
"state": "PR",
"postal_code": "00736",
"telephone_number": "787-590-8341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CALLE BAEZ",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009175020",
"telephone_number": "787-767-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "EDGARDO",
"middle_name": "JOSE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2021-03-03",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "PR",
"license": "1317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.