Individual provider Active NPI

Judith Ortiz Colon, DMD

  • General Practice Dentistry
  • Cayey, PR
National Provider Identifier
1093710980
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2287 Issued in PR
Practice address
Calle Aleli #66 Urb Fullana
Edif Michaelangelo Professional Centre
Cayey, PR 00736
Phone
(787) 263-8940
Fax
(787) 263-7882
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2287 PR Primary

Addresses

Primary practice location

Calle Aleli #66 Urb Fullana
Edif Michaelangelo Professional Centre
Cayey, PR 00736

Mailing address

Calle Aleli #66 Urb Fullana
Edif Michaelangelo
Cayey, PR 00736
Phone (787) 263-8940

Other identifiers 1

IdentifierTypeStateIssuer
42361OtherPRSSS DENTAL PLAN

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170511000801 PR Order and Referring Only - DentistPractitioner - Dentist 6002193513

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2287PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Oficina Dental Dra Judith Ortiz 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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1093710980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE ALELI #66 URB FULLANA",
            "address_2": "EDIF MICHAELANGELO",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-8940",
            "fax_number": "787-263-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ALELI #66 URB FULLANA",
            "address_2": "EDIF MICHAELANGELO PROFESSIONAL CENTRE",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00736",
            "telephone_number": "787-263-8940",
            "fax_number": "787-263-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ COLON",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS DENTAL PLAN",
            "identifier": "42361",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cayey, PR

Sources for this page

Verify at the official NPI Registry.