Active NPI
Caribbean Urocentre, CSP
- Urology Physician
- Mayaguez, PR
National Provider Identifier
1114219219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- CARIBBEAN UROCENTRE, CSP
- Practice address
- 410 Ave Hostos
Mayaguez Medical Center
Mayaguez, PR 00682-1560 - Phone
- (787) 806-2020
- NPI assigned
- May 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Juan M Colon Sr., MD
- Title
- President
- Phone
- (787) 806-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
410 Ave Hostos
Mayaguez Medical Center
Mayaguez, PR 00682-1560
Mailing address
3103 Calle Sausalito
Cabo Rojo, PR 00623-8994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150211001205 | PR | Part B Supplier - Clinic/Group Practice | 2860717006 |
Receives reassigned benefits from 1 practitioner Practice locations: Mayaguez, PR |
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331856000000",
"number": "1114219219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 CALLE SAUSALITO",
"city": "CABO ROJO",
"state": "PR",
"postal_code": "006238994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 AVE HOSTOS",
"address_2": "MAYAGUEZ MEDICAL CENTER",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006821560",
"telephone_number": "787-806-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARIBBEAN UROCENTRE, CSP",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-06",
"last_updated": "2012-03-16",
"status": "A",
"authorized_official_last_name": "COLON",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "787-806-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayaguez, PR
- Enoc Cardona, CRNA
- Caribbean Cardiac & Thoracic Surgery Institute, LLC
- Caribbean Heart & Vascular Group PSC
- Caribbean Medical & Hospital Supplies
- Caribbean Mental Solutions and Wellness LLC
- Caribe Pathology CSP
- Caribe Pharmacy Management LLC
- Caribe Pharmacy Management LLC
- Jorge Luis Carlo Font, M. D.
- Edgar Carlo Frontera, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.