Ada I Colon-Gavillan, PT,MPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

776 Issued in PR

Practice address

Villa Carolina
104-17 104Street
Carolina, PR 00985

Phone

(787) 752-0869

NPI assigned

Dec 2, 2009

Last updated

Dec 2, 2009By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Servicios de Terapia Fisica Aic, CSP

  • Physical Therapy Clinic/Center
  • Humacao, PR
  • NPI 1831413434
  NPD (past)

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259712000000",
    "number": "1215265202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9030",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "007929030",
            "telephone_number": "787-585-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VILLA CAROLINA",
            "address_2": "104-17 104STREET",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00985",
            "telephone_number": "787-752-0869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-GAVILLAN",
        "first_name": "ADA",
        "middle_name": "I",
        "credential": "PT,MPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "PR",
            "license": "776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Isabel Colon Rivera, MD, NL
• Yaniralys Colon Sanchez
• Colon Tavarez Pharmacy Services, Inc (Farmacia Puerta de Carolina)
• Lizbeth Marie Colon-Deglans, D.M.D., M.S.
• Rafael A. Colon-Diaz, M.D.
• Reinaldo Colon-Llanos
• Ana F Colon, PH
• Andrea Colon, RD
• Islebialys Colon
• Jeisela Colon, LND

• Physical Therapy Clinic/Center in Carolina, PR
• Providers in Carolina, PR by specialty
• Physical Therapy Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.