Colonial Medical Management, Corp

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLONIAL MEDICAL MANAGEMENT, CORP

Doing business as

Centro de Diagnostico y Tratamiento de Anasco

Practice address

Carretera 402 KM 1.8
Bo. Marias
Anasco, PR 00610

Phone

(787) 826-8082

NPI assigned

Jun 22, 2012

Last updated

Jul 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Pablo Serrano

Title

Chief Financial Officer

Phone

(787) 826-8082

Specialties & licenses 1

Addresses

Other names 1

• Centro de Diagnostico y Tratamiento de Anasco Doing business as

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Colonial Medical Management, Corp

  dba Comedco Imaging Center

  • Mammography Clinic/Center
  • Anasco, PR
  • NPI 1164771853
  NPPES parent name
• Colonial Medical Management, Corp

  • Urgent Care Clinic/Center
  • Anasco, PR
  • NPI 1578950507
  NPPES parent name
• Colonial Medical Management, Corp.

  dba Laboratorio Clinico CDT de Anasco

  • Clinical Medical Laboratory
  • Anasco, PR
  • NPI 1528317997
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eduardo Jose Perez Caban, M.D.

  • General Practice Physician
  • Aguadilla, PR
  • NPI 1992946396
  NPD (past)
• Robert Rodriguez Perez, M.D.

  • General Practice Physician
  • Guayanilla, PR
  • NPI 1336348291
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1215290374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1438",
            "city": "RINCON",
            "state": "PR",
            "postal_code": "00677",
            "telephone_number": "787-826-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 402 KM 1.8",
            "address_2": "BO. MARIAS",
            "city": "ANASCO",
            "state": "PR",
            "postal_code": "00610",
            "telephone_number": "787-826-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL MEDICAL MANAGEMENT, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "SERRANO",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "787-826-8082",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centro de Diagnostico y Tratamiento de Anasco",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinica Yaguez Inc (Laboratorio Pavia Health Clinic Anasco)
• Clinica Yaguez, Inc. (Pavia Health Clinic Anasco)
• Tania Y Colon Vega, MD
• Evelyn Colon
• Colonial Medical Management, Corp (Comedco Imaging Center)
• Colonial Medical Management, Corp
• Colonial Medical Management, Corp. (Laboratorio Clinico CDT de Anasco)
• Cortes Pharmacy Group LLC (Farmacia Genesis II)
• Cosmarie M Cortes Rivera
• Glorivee Cortes, R.P.H.

• Clinic/Center in Anasco, PR
• Providers in Anasco, PR by specialty
• Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.