Individual provider Active NPI

Zidnia Marie Colon Blanco, M.D.

  • Family Medicine Physician
  • Vega Baja, PR
National Provider Identifier
1235298308
Registry record updated Oct 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
16518 Issued in PR
Practice address
197 Calle Suzette
Urb. Vega Serena
Vega Baja, PR 00693-5854
Phone
(787) 408-0845
NPI assigned
Dec 6, 2006
Last updated
Oct 8, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 16518 PR Primary

Addresses

Primary practice location

197 Calle Suzette
Urb. Vega Serena
Vega Baja, PR 00693-5854

Mailing address

197 Calle Suzette
Urb. Vega Serena
Vega Baja, PR 00693-5854
Phone (787) 408-0845

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
I20061221000423 PR Practitioner - Family Practice 0941200950 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16518PRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
HPM Foundation Inc CurrentSince May 27, 2013 Accepting new patients
HPM Foundation Inc CurrentSince May 27, 2013 Accepting new patients

Locations

2020 Ave Borinquen
Santurce, PR 00915

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318032000000",
    "number": "1235298308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CALLE SUZETTE",
            "address_2": "URB. VEGA SERENA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935854",
            "telephone_number": "787-408-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CALLE SUZETTE",
            "address_2": "URB. VEGA SERENA",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935854",
            "telephone_number": "787-408-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON BLANCO",
        "first_name": "ZIDNIA",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2011-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "16518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.