Individual provider Active NPI

Yonatan Colon Rivera, M.D.

  • Psychosomatic Medicine Physician
  • Mayaguez, PR
National Provider Identifier
1144777517
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
22080 Issued in PR
Practice address
826 Ave Hostos KM 159
Edif Villa Capitan III Suite 101
Mayaguez, PR 00682-1528
Phone
(787) 546-6076
NPI assigned
Sep 2, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 145750 FL
Psychosomatic Medicine Physician 2084P0015X 22080 PR Primary

Addresses

Primary practice location

826 Ave Hostos KM 159
Edif Villa Capitan III Suite 101
Mayaguez, PR 00682-1528

Mailing address

PO Box 1095
Rincon, PR 00677-1095
Phone (787) 546-6076

Other practice location 1

3 Catalino Velazquez
Moca, PR 00676
Phone (787) 310-7491

Other practice location 2

1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005
Phone (787) 546-6076

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN, PR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210615001511 FL Practitioner - Psychiatry 8325448236 Reassigns benefits to 1 organization
I20230201001262 MN Practitioner - Psychiatry 8325448236 Reassigns benefits to 1 organization
I20241015001980 PR Practitioner - Psychiatry 8325448236 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

1901 W Flagler St
Suite 7
Miami, FL 33135-1677
Phone (786) 612-5973

500 S Maple St
Waconia, MN 55387-1752
Phone (952) 442-2191

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22080PRMDPsychosomatic Medicine Physician
145750FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Feb 18, 2023 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 9, 2025 Accepting new patients
Ridgeview Medical Center CurrentSince Jan 9, 2025 Accepting new patients
Spectrum Mental Health Corp CurrentSince Oct 16, 2024 Accepting new patients
Allina Health System CurrentSince Feb 18, 2023 Accepting new patients
Ridgeview Medical Center Current Accepting new patients

Locations

1901 W Flagler St
Ste 7
Miami, FL 33135
Phone (305) 649-9545

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Ste 120
Chaska, MN 55318
Phone (952) 856-4001

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

Organizations & group practices 7

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1144777517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1095",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "006771095",
            "telephone_number": "787-546-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 AVE HOSTOS KM 159",
            "address_2": "EDIF VILLA CAPITAN III SUITE 101",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006821528",
            "telephone_number": "787-546-6076"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Catalino Velazquez",
            "address_purpose": "LOCATION",
            "city": "Moca",
            "state": "PR",
            "postal_code": "00676",
            "country_code": "US",
            "telephone_number": "787-310-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1611 NW 12th Ave Fl 33136",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "787-546-6076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON RIVERA",
        "first_name": "YONATAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-12-02",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "145750",
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PR",
            "license": "22080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.