Orlando J Colon-Aviles, DDS
Individual provider Active NPI General Practice Dentistry · Moca, PR
NPI 1114023645 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114023645
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2139 (PR)
- Practice address
- Road 110 KM 12.4
2ND Floor Colon Plaza Building
Moca, PR 00676 - Phone
- (787) 877-2500
- Fax
- (787) 877-2505
- NPI assigned
- Sep 15, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2139 | PR | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2139 | PR | Yes |
Addresses
Primary practice location
Road 110 KM 12.4
2ND Floor Colon Plaza Building
Moca, PR 00676
Mailing address
PO Box 1572
Moca, PR 00676-1572
Phone (787) 877-2500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2139 | Other | PR | PLAN DE SERVICIOS DE SALU |
| 6843 | Other | PR | INTERNATIONAL MED CARD |
| 206799 | Other | PR | PREFERRED HEALTH |
| 26258 | Other | PR | AMERICAN HEALTH |
| 70356 | Other | PR | PREFERRED MEDICARE CHOICE |
| 41986 | Other | PR | SSS |
| 041734 | Other | PR | CRUZ AZUL |
Other providers in Moca, PR
- Michael David Choley
- Colegio de Aprendizaje Y Desarrollo Educativo Integrado
- Simon Colon Ramos
- Xavier Colon Rivera
- Sara Colon Santiago
- Cristian S. Colon-Rivera
- Edward Colon
- Luis Gerardo Colon
- Community Health Services
- Community Primary Health Care, Inc.
All providers in Moca, PR · General Practice Dentistry in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.