Eva Liz Colon Maldonado, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15664 Issued in PR

Practice address

Carr.167 KM14.8 Bo.Buena Vista
Bayamon, PR 00956

Phone

(787) 797-0754

Fax

(787) 797-0754

NPI assigned

Nov 14, 2006

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

Other identifiers 1

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Medicina Primaria Buena Vista LLC.

  • General Practice Physician
  • Bayamon, PR
  • NPI 1306549209
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1245302603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 CALLE MONTE LA MINA",
            "address_2": "URB. PRDERAS DEL RIO",
            "city": "TOA ALTA",
            "state": "PR",
            "postal_code": "009539132",
            "telephone_number": "787-797-0754",
            "fax_number": "787-797-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.167 KM14.8 BO.BUENA VISTA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-797-0754",
            "fax_number": "787-797-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MALDONADO",
        "first_name": "EVA",
        "middle_name": "LIZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "15664",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pedro Collazo, MD
• Sheyla Marie Collazo, M.D.
• Joanna Liz Colon Collazo, MA, PSIC
• Keimarisse Colon Diaz, PHD
• Adriana Paola Colon Llovet, PHARMD
• Valerie Marie Colon Martinez
• Jorge A Colon Morales, M.D
• Shaneily Marie Colon Morera
• Edgar Colon Negron, MD
• Jane Marie Colon Nieves

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.
• 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.