Tamara I Colon Colmenero, M.D

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

9596 Issued in PR

Practice address

1028 Ave FD Roosevelt
San Juan, PR 00920-2904

Phone

(787) 781-8316

Fax

(787) 783-0432

NPI assigned

Mar 24, 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 names 1

• Dr. Tamara I Colon Colmenero Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Medicos de Familia Imf, CSP

  • Family Medicine Physician
  • San Juan, PR
  • NPI 1922339225

  General Practice

  NPD (past)

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1255391074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 ST. MR20",
            "address_2": "COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "00982",
            "telephone_number": "787-409-2246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 AVE FD ROOSEVELT",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009202904",
            "telephone_number": "787-781-8316",
            "fax_number": "787-783-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON COLMENERO",
        "first_name": "TAMARA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "COLON COLMENERO",
            "middle_name": "I",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Sofia Colon Berrios
• Paola Andrea Colon Bonilla
• Merida S. Colon Caban, M.D.
• Colon Cancer Care LLC
• Lillian E Colon Castillo, MD
• Edwin Colon Colon
• Jose L Colon Colon, MD
• Rolando Colon Colon, PAY., L.M.S.W.
• Ana L Colon de Jimenez, M.D. F.A.A.D
• Enrique L. Colon de Leon, PSYCHOLOGY DOCTOR

• General Practice Physician in San Juan, PR
• Providers in San Juan, 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 Aug 20, 2018; 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.