Mirelis Nyvette Colon, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

2675 Issued in PR

Practice address

Real Shopping Center
Ave. Albolote # 1 Suite 105
Guaynabo, PR 00969

Phone

(787) 400-9714

NPI assigned

Aug 22, 2005

Last updated

May 7, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mirelis Nyvette Colon Professional name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Dental Mirmar Inc

  • Dental Clinic/Center
  • Naranjito, PR
  • NPI 1063530111
  NPD (past) Authorized official
• Carrion Endodontics, LLC

  • Endodontics
  • Guaynabo, PR
  • NPI 1497587620
  NPD

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1194717496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 165",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007190165",
            "telephone_number": "787-869-2565",
            "fax_number": "787-869-2471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REAL SHOPPING CENTER",
            "address_2": "AVE. ALBOLOTE # 1 SUITE 105",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-400-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "MIRELIS",
        "middle_name": "NYVETTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PR",
            "license": "2675",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "2675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRELIS",
            "last_name": "COLON",
            "middle_name": "NYVETTE",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Camila Alejandra Colon
• Darlene Colon, CPHT
• Irma Nydia Colon, MD
• John Colon, MSPT
• Lizbeth Marie Colon, PHARM.D.
• Nancy Colon
• Sandra Enid Colon
• Wilfredo Colon, PSY.D
• Rafael Comas Horta, 1095P
• Lucemille Comas, D.D.S.

• Endodontics in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Endodontics in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.