Individual provider Active NPI

Benedicto Colon-Perez, MD

  • Urology Physician
  • Bayamon, PR
National Provider Identifier
1154326395
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
8385 Issued in PR
Practice address
1845 Carr 2
Ste 602
Bayamon, PR 00959-7204
Phone
(787) 622-0700
Fax
(787) 622-0705
NPI assigned
Jun 15, 2005
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 8385 PR Primary

Addresses

Primary practice location

1845 Carr 2
Ste 602
Bayamon, PR 00959-7204

Mailing address

PO Box 789
Bayamon, PR 00960-0789
Phone (787) 622-0700

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
I20080226000702 PR Practitioner - Urology 5496839649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1845 Carr
Suite 602
Bayamon, PR 00959-7204
Phone (787) 622-0700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8385PRMDAmbulatory Care Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Servicios Medicos Urologia CSP Urology CurrentSince Feb 12, 2008 Accepting new patients
Uromed-Lex LLC Urology PastSince Jun 11, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: benedicto.colonperez.p1@direct.vitacare.nextgenshare.com

Organizations & group practices 2

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1154326395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009600789",
            "telephone_number": "787-622-0700",
            "fax_number": "787-622-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CARR 2",
            "address_2": "STE 602",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009597204",
            "telephone_number": "787-622-0700",
            "fax_number": "787-622-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-PEREZ",
        "first_name": "BENEDICTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "8385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.