Individual provider Active NPI

Noel Colon de Leon, M.D.

  • Anesthesiology Physician
  • San Juan, PR
National Provider Identifier
1215970934
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16340 Issued in PR
Practice address
Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Oficina 704
San Juan, PR 00917-5029
Phone
(787) 765-8620
Fax
(787) 767-6138
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16340 PR Primary

Addresses

Primary practice location

Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Oficina 704
San Juan, PR 00917-5029

Mailing address

Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Oficina 704
San Juan, PR 00917-5029
Phone (787) 765-8620

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
I20070319000141 PR Practitioner - Anesthesiology 1951404631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Massachusetts Medical School, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GRH Anesthesia Group, PSCGroup PAC ID 9234179029, 10 clinicians

Practice addresses (Care Compare)

Cond Torre Auxilio Mutuo
735 Ave Ponce de Leon Ofic 704
San Juan, PR 00917-5029

Cont Torre Auxilio Mutuo Ofc
704 735 Ave Ponce de Leon
San Juan, PR 00917-5029

Hospital & facility affiliations

  • Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
GRH Anesthesia Group, PSC Anesthesiology CurrentSince Mar 3, 2014 Accepting new patients

Locations

735 Ave Ponce de Leon
Ste 704
San Juan, PR 00917
Phone (787) 379-6786

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1215970934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND TORRE AUXILIO MUTUO",
            "address_2": "735 AVE PONCE DE LEON OFICINA 704",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-765-8620",
            "fax_number": "787-767-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND TORRE AUXILIO MUTUO",
            "address_2": "735 AVE PONCE DE LEON OFICINA 704",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009175029",
            "telephone_number": "787-765-8620",
            "fax_number": "787-767-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON DE LEON",
        "first_name": "NOEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PR",
            "license": "16340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.