Active NPI
Pedro E Colton, M.D.
- Nephrology Physician
- San Juan, PR
National Provider Identifier
1104001270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 17532
- 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, 2012
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121031000462 | PR | Practitioner - Nephrology | 4981854783 | Practice locations: Santurce, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 17532 | PR | MD | Nephrology Physician |
Interoperability endpoints
- pedro.coltonverge@4353.securemail.prognocis.com
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- San Juan, PR
- NPI 1205539558
Hospital
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1699748236
-
dba Hospital Pavia Santurce
- General Acute Care Hospital
- San Juan, PR
- NPI 1467417865
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.