Mayra A Colon Lopez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3440 Issued in PR

Practice address

320 Calle Gautier Benitez Ste 22
Caguas, PR 00725-7204

Phone

(787) 745-6220

NPI assigned

Jun 19, 2020

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1245856848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6400 PMB 123",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "00737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CALLE GAUTIER BENITEZ STE 22",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257204",
            "telephone_number": "787-745-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON LOPEZ",
        "first_name": "MAYRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-01-07",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colon Ambulance Services
• Colon Ambulance Services Inc
• Karenly Colon Burgos, PHARN D
• Belisa Colon Huertas, LCDA
• Annel Marie Colon Lebron, O.D., MSMS
• Jose Osvaldo Colon Maldonado, M.D.
• Bryan Colon Morales
• Coralys Mary Colon Ortiz, DC
• Ana Colon Parrilla, MA
• Nilda Margarita Colon Rivera

• General Practice Dentistry in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.