Individual provider Active NPI

Jaime R Villa Colon, MD

  • Dermatology Physician
  • Ponce, PR
National Provider Identifier
1174591861
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
8852 Issued in PR
Practice address
2225 Ponce Bypass
Parra Building 403
Ponce, PR 00717-1320
Phone
(787) 259-3391
Fax
(787) 259-8474
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 8852 PR Primary

Addresses

Primary practice location

2225 Ponce Bypass
Parra Building 403
Ponce, PR 00717-1320

Mailing address

2225 Ponce Bypass
Parra Building 403
Ponce, PR 00717-1320
Phone (787) 259-3391

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
I20141113000976 PR Practitioner - Dermatology 4082836788 Reassigns benefits to 1 organization
Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
San Juan Bautista School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Edificio Parra
403 2225 Ponce by Pass
Ponce, PR 00717-1322
Phone (787) 259-3391

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions288
Removal of nail tissue1-10
Removal or shaving of skin growth25
Skin biopsy311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8852PRMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jaime Villa Colon, C.S.P. Dermatology CurrentSince Aug 1, 2018 Accepting new patients

Locations

2225 Ponce Byp
Ste 403
Ponce, PR 00717
Phone (787) 259-3391

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1174591861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYPASS",
            "address_2": "PARRA BUILDING 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171320",
            "telephone_number": "787-259-3391",
            "fax_number": "787-259-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYPASS",
            "address_2": "PARRA BUILDING 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171320",
            "telephone_number": "787-259-3391",
            "fax_number": "787-259-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA COLON",
        "first_name": "JAIME",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "8852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.