Individual provider Active NPI

Pedro E Colton, M.D.

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1104001270
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
17532 Issued in PR
Practice address
611 Calle Pavia
Pavia Medical Plaza Suite 214
San Juan, PR 00909-2239
Phone
(787) 726-7008
NPI assigned
Jan 8, 2008
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 17532 PR Primary

Addresses

Primary practice location

611 Calle Pavia
Pavia Medical Plaza Suite 214
San Juan, PR 00909-2239

Mailing address

611 Calle Pavia
Pavia Medical Plaza Suite 214
San Juan, PR 00909-2239
Phone (787) 726-7008

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
I20121031000462 PR Practitioner - NephrologyPractitioner - Internal Medicine 4981854783 Practice locations: Santurce, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Pavia Medical Plaza Calle Pavia
611 Suite 214
Santurce, PR 00910
Phone (787) 726-7008

PO Box
San Juan, PR 00910

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17532PRMDNephrology Physician

Interoperability endpoints

  • Direct secure messaging: pedro.coltonverge@4353.securemail.prognocis.com

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1104001270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA",
            "address_2": "PAVIA MEDICAL PLAZA SUITE 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-726-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 CALLE PAVIA",
            "address_2": "PAVIA MEDICAL PLAZA SUITE 214",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092239",
            "telephone_number": "787-726-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLTON",
        "first_name": "PEDRO",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-08",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "17532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.