Carlos H Colombo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME63398 Issued in FL

Practice address

4170 Town Center Blvd
Ste. 100
Orlando, FL 32837

Phone

(407) 857-6166

Fax

(407) 857-0122

NPI assigned

Jan 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Allmd PLLC

  • Clinic/Center
  • Orlando, FL
  • NPI 1962982603
  NPD Authorized official
• Eastcoast Medical Network Inc

  dba The Medical Concierge

  • Multi-Specialty Clinic/Center
  • Orlando, FL
  • NPI 1013128420
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1114074515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 TOWN CENTER BLVD",
            "address_2": "STE. 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328375873",
            "telephone_number": "407-857-6166",
            "fax_number": "407-857-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 TOWN CENTER BLVD",
            "address_2": "STE. 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32837",
            "telephone_number": "407-857-6166",
            "fax_number": "407-857-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLOMBO",
        "first_name": "CARLOS",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-05",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME63398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "47093",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Rayann Colman
• Colmedical Care LLC (Colmedical Care)
• Paul Gagarin Colmenares Rodriguez, FNP
• Maria Angelica Colmenares, M.S.
• Sheryl Colombero, NNP
• Daniel T Colombo, MD
• Jessenia Colon Bones, PHD
• Orlando Andres Colon de Feria, DMD
• Nurys Colon Madera
• Janeimee Colon Pauneto

• General Practice Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.