Individual provider Active NPI

Maribel Colon-Vega, MD

  • Family Medicine Physician
  • Morovis, PR
National Provider Identifier
1184985376
Registry record updated Aug 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18469 Issued in PR
Practice address
HC 2 Box 5876
Morovis, PR 00687-8722
Phone
(787) 238-9679
NPI assigned
Jun 4, 2012
Last updated
Aug 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18469 PR Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 18469 PR

Addresses

Primary practice location

HC 2 Box 5876
Morovis, PR 00687-8722

Mailing address

HC 2 Box 5876
Morovis, PR 00687-8722
Phone (787) 862-3035

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
I20121211000065 PR Practitioner - Family PracticePractitioner - General PracticePractitioner - Geriatric Medicine 7315199775 Practice locations: Cabo Rojo, PR

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

53 Calle Carbonell
Cabo Rojo, PR 00623-3441
Phone (787) 375-7171

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatric Medicine LLC Current Accepting new patients
RDF,CSP PastSince Dec 24, 2016 Accepting new patients
Del Rio Y Montesinos CSP Past Accepting new patients

Organizations & group practices 3

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": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503532800000",
    "number": "1184985376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5876",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006878722",
            "telephone_number": "787-862-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 2 BOX 5876",
            "city": "MOROVIS",
            "state": "PR",
            "postal_code": "006878722",
            "telephone_number": "787-238-9679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-VEGA",
        "first_name": "MARIBEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2017-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "18469",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "18469",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morovis, PR

Sources for this page

Verify at the official NPI Registry.