Individual provider Active NPI

Lorena Michelle Diaz Colon, MD

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1265059893
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
022688 Issued in PR
Practice address
175 Calle San Felipe
Arecibo, PR 00612-4605
Phone
(787) 879-3995
Fax
(787) 879-3995
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 022688 PR Primary

Addresses

Primary practice location

175 Calle San Felipe
Arecibo, PR 00612-4605

Mailing address

PO Box 560
Hatillo, PR 00659-0560
Phone (787) 552-8789

Other practice location 1

Calle Hernandez Carrion Carr #2
Interceccion 668 Urb Atenas
Manati, PR 00674-1142
Phone (787) 621-3700

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
I20220822000537 PR Practitioner - General Practice 1951784123 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
022688PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LMDC Primary Medicine LLC General Practice CurrentSince Jul 6, 2022 Accepting new patients
Manati Medical Center PastSince Jul 1, 2020 Accepting new patients

Locations

175 Calle San Felipe
Arecibo, PR 00612
Phone (787) 879-3995

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1265059893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006590560",
            "telephone_number": "787-552-8789",
            "fax_number": "787-879-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CALLE SAN FELIPE",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124605",
            "telephone_number": "787-879-3995",
            "fax_number": "787-879-3995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "CALLE HERNANDEZ CARRION CARR #2",
            "address_2": "INTERCECCION 668 URB ATENAS",
            "address_purpose": "LOCATION",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741142",
            "country_code": "US",
            "telephone_number": "787-621-3700",
            "fax_number": "787-621-3266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIAZ COLON",
        "first_name": "LORENA",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.