Individual provider Active NPI

Viviana Mayrin Colon Martinez, MD

  • General Practice Physician
  • Aguadilla, PR
National Provider Identifier
1124806369
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24406 Issued in PR
Practice address
PO Box 4055
Aguadilla, PR 00605-4055
Phone
(787) 658-0000
NPI assigned
Sep 19, 2023
Last updated
May 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
General Practice Physician 208D00000X 24406 PR Primary

Addresses

Primary practice location

PO Box 4055
Aguadilla, PR 00605-4055

Mailing address

HC 5 Box 54829
San Sebastian, PR 00685-5814
Phone (939) 258-4118

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
I20250922000051 PR Practitioner - General Practice 9931603024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Calle Luis Montalvo
119 Bo Maravilla Norte
Las Marias, PR 00670-0000
Phone (787) 827-3798

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24406PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Migrant Health Center Western Region,Inc Current Accepting new patients
Migrant Health Center Western Region, Inc. CurrentSince Sep 15, 2025 Accepting new patients
Migrant Health Center Western Region, Inc. Past Accepting new patients

Organizations & group practices 5

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": "1695081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1124806369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 5 BOX 54829",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006855814",
            "telephone_number": "939-258-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 4055",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006054055",
            "telephone_number": "787-658-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MARTINEZ",
        "first_name": "VIVIANA",
        "middle_name": "MAYRIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-19",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "24406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

Sources for this page

Verify at the official NPI Registry.