Individual provider Active NPI

Irma Nydia Colon, MD

  • Diagnostic Radiology Physician
  • Guaynabo, PR
National Provider Identifier
1104919273
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
007857 Issued in PR
Practice address
202 Ave Esmeralda
Urb Ponce de Leon
Guaynabo, PR 00969
Phone
(787) 272-5656
Fax
(787) 720-3232
NPI assigned
Oct 2, 2006
Last updated
Oct 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 007857 PR Primary

Addresses

Primary practice location

202 Ave Esmeralda
Urb Ponce de Leon
Guaynabo, PR 00969

Mailing address

PMB 171
53 Ave Esmeralda
Guaynabo, PR 00969-4429
Phone (787) 272-5656

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
I20031210000147 PR Practitioner - Diagnostic Radiology 9638075740 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tesla Radiology LLCGroup PAC ID 1759606676, 2 clinicians

Practice addresses (Care Compare)

202 Ave Esmeralda
Guaynabo, PR 00969-4448
Phone (787) 272-5656

535 Carr
189 Suite 8
Gurabo, PR 00778-4202
Phone (787) 737-0707

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7857PRMDPharmacy Technician
007857PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mennonite General Hospital Inc Diagnostic Radiology CurrentSince Aug 18, 2018 Accepting new patients
Mennonite General Hospital Inc. CurrentSince Aug 18, 2018 Accepting new patients
Dr Irma Colon PSC Radiologist Diagnostic Radiology CurrentSince Aug 1, 1990 Accepting new patients
Tesla Radiology LLC Diagnostic Radiology CurrentSince Aug 1, 2018 Accepting new patients
Mennonite General Hospital Inc Current Accepting new patients

Locations

202 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 272-5656

53 Ave Esmeralda
Guaynabo, PR 00969
Phone (787) 272-5656

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1104919273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PMB 171",
            "address_2": "53 AVE ESMERALDA",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009694429",
            "telephone_number": "787-272-5656",
            "fax_number": "787-720-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 AVE ESMERALDA",
            "address_2": "URB PONCE DE LEON",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-272-5656",
            "fax_number": "787-720-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "IRMA",
        "middle_name": "NYDIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "007857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.