Active NPI
Lisbeth Valentin Colon, M.D
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1265419311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 6737
- Practice address
- 1028 Ave FD Roosevelt
Puerto Nuevo
San Juan, PR 00920-2904 - Phone
- (787) 781-8316
- NPI assigned
- Dec 29, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 6737 | PR | Primary |
Addresses
Primary practice location
1028 Ave FD Roosevelt
Puerto Nuevo
San Juan, PR 00920-2904
Mailing address
PO Box 1136
Trujillo Alto, PR 00977-1136
Phone (787) 360-3660
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110810000009 | PR | Practitioner - Pediatric Medicine | 5294904454 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6737 | PR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medicos de Familia Imf, CSP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- San Juan, PR
- NPI 1922339225
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1265419311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1136",
"city": "TRUJILLO ALTO",
"state": "PR",
"postal_code": "009771136",
"telephone_number": "787-360-3660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1028 AVE FD ROOSEVELT",
"address_2": "PUERTO NUEVO",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009202904",
"telephone_number": "787-781-8316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTIN COLON",
"first_name": "LISBETH",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-12-29",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "6737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.