Individual provider Active NPI

Jesus Daniel Vega Colon, MD

  • Nephrology Physician
  • San Juan, PR
National Provider Identifier
1275057382
Registry record updated Dec 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22265 Issued in PR
Practice address
Centro Medico Puerto Rico Barrio Monacillos
San Juan, PR 00935-0001
Phone
(787) 777-3535
NPI assigned
Jul 31, 2017
Last updated
Dec 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22265 PR Primary

Addresses

Primary practice location

Centro Medico Puerto Rico Barrio Monacillos
San Juan, PR 00935-0001

Mailing address

University of Puerto Rico School of Medicine
PO Box 365067
San Juan, PR 00936
Phone (787) 777-3535

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
I20230919004417 PR Practitioner - NephrologyPractitioner - Internal Medicine 3779947049 Reassigns benefits to 2 organizations
Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puerto Rico Vascular Access Center PSCGroup PAC ID 0941500011, 5 clinicians

Practice addresses (Care Compare)

715 Ave Ponce de Leon
San Juan, PR 00917-5032
Phone (787) 758-3320

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22265PRMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Nephrology CurrentSince Jul 1, 2024 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Jul 1, 2024 Accepting new patients
Puerto Rico Vascular Access Center PSC Nephrology CurrentSince Jul 1, 2023 Accepting new patients

Locations

715 Ave Ponce de Leon
Ste 1
San Juan, PR 00917
Phone 7877582000 ext. 1391

BO Monacillos Centro Medico De
San Juan, PR 00935
Phone 78775825252379

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1501459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1275057382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE",
            "address_2": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00936",
            "telephone_number": "787-777-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO MEDICO PUERTO RICO BARRIO MONACILLOS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009350001",
            "telephone_number": "787-777-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA COLON",
        "first_name": "JESUS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-31",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "22265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.