Individual provider Active NPI

Jorge Arnaldo Colon Pallens, MD

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1124527114
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
19806 Issued in PR
Practice address
Urb Santa Rosa
57-12 Calle 32
Bayamon, PR 00959
Phone
(787) 736-0903
NPI assigned
Feb 6, 2018
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 19806 PR Primary

Addresses

Primary practice location

Urb Santa Rosa
57-12 Calle 32
Bayamon, PR 00959

Mailing address

Urb. Santa Rosa
Calle 32, Bloque 57-12
Bayamon, PR 00959

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
I20181220000494 PR Practitioner - General Practice 8628313657 Reassigns benefits to 1 organization
Practice locations: San Juan, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19806PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Municipio de Bayamon CurrentSince Jan 27, 2021 Accepting new patients

Organizations & group practices 1

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": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1124527114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. SANTA ROSA",
            "address_2": "CALLE 32, BLOQUE 57-12",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA ROSA",
            "address_2": "57-12 CALLE 32",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-736-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON PALLENS",
        "first_name": "JORGE",
        "middle_name": "ARNALDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "19806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.