Individual provider Active NPI

Diana Carolina Valentin Colon, M.D.

  • Dermatology Physician
  • San Juan, PR
National Provider Identifier
1194069336
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18762 Issued in PR
Practice address
Edificio de Decanato de Estudiantes, Oficina 502
Dermatologia, Recinto de Ciencias Medicas, Centro Medic
San Juan, PR 00936
Phone
(787) 765-7950
NPI assigned
Nov 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 27279 PR
Dermatology Physician 207N00000X 18762 PR Primary

Addresses

Primary practice location

Edificio de Decanato de Estudiantes, Oficina 502
Dermatologia, Recinto de Ciencias Medicas, Centro Medic
San Juan, PR 00936

Mailing address

126 Calle Principe Guillermo
Estancias Reales
Guaynabo, PR 00969-5333
Phone (787) 387-9970

Other practice location 1

126 Calle Principe Guillermo
Estancias Reales
Guaynabo, PR 00969-5333
Phone (787) 387-9970

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
I20171004002120 PR Practitioner - Dermatology 4486929270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University Central del Caribe Escuela de Medicina, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Suite 200 Centro Comercial Reparto
Ave Americo Miranda
Rio Piedras, PR 00921
Phone (787) 758-7910

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18762PRMDDermatology Physician
27279PRMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Mar 6, 2019 Accepting new patients
Recinto de Ciencias Medicas Dermatology CurrentSince Mar 6, 2019 Accepting new patients
Recinto de Ciencias Medicas 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1194069336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 CALLE PRINCIPE GUILLERMO",
            "address_2": "ESTANCIAS REALES",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695333",
            "telephone_number": "787-387-9970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO DE DECANATO DE ESTUDIANTES, OFICINA 502",
            "address_2": "DERMATOLOGIA, RECINTO DE CIENCIAS MEDICAS, CENTRO MEDIC",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-765-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 Calle Principe Guillermo",
            "address_2": "Estancias Reales",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "009695333",
            "country_code": "US",
            "telephone_number": "787-387-9970",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN COLON",
        "first_name": "DIANA",
        "middle_name": "CAROLINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "PR",
            "license": "27279",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "18762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.