Pedro Nelson Colberg, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22640 Issued in PR

Practice address

200 Ave Orquidea
Bayamon, PR 00959-4159

Phone

(787) 779-0122

NPI assigned

Jun 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Essential Medical Group LLC

  • General Practice Physician
  • Bayamon, PR
  • NPI 1316796980
  Medicare reassignment NPD
• Puerto Rico Health LLC

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1285393587
  Medicare reassignment NPD
• Colberg MD LLC

  • General Practice Physician
  • Guaynabo, PR
  • NPI 1598537722
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1154850774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE REY GUSTAVO #271",
            "address_2": "LA VILLA DE TORRIMAR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-354-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 AVE ORQUIDEA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009594159",
            "telephone_number": "787-779-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERG",
        "first_name": "PEDRO",
        "middle_name": "NELSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinicamente LLC
• Cmda de Puertorico, Inc.
• Cmda Medical Services PSC
• CNV Medical Group
• Diana M. Colacioppo-Saavedra, MS
• Angel L. Collazo Bonilla, M.D.
• Roseanne Collazo Nieves
• Adriana Collazo Ortiz, MD
• Stephany Collazo Otero
• Jesus Johan Collazo

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.