Individual provider Active NPI

Carylee Castro Colon, MD

  • General Practice Physician
  • Vega Baja, PR
National Provider Identifier
1306193578
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18489 Issued in PR
Practice address
C1 Calle 2
Vega Baja, PR 00693-4510
Phone
(787) 970-5046
Fax
(787) 970-5046
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 18489 PR Primary

Addresses

Primary practice location

C1 Calle 2
Vega Baja, PR 00693-4510

Mailing address

269 Calle 13
Urbanizacion San Vicente
Vega Baja, PR 00693-3420
Phone (617) 504-8215

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
I20140502001654 PR Practitioner - General Practice 1254564925 Practice locations: Corozal, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18489PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1306193578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 CALLE 13",
            "address_2": "URBANIZACION SAN VICENTE",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006933420",
            "telephone_number": "617-504-8215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C1 CALLE 2",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006934510",
            "telephone_number": "787-970-5046",
            "fax_number": "787-970-5046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO COLON",
        "first_name": "CARYLEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2023-06-06",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vega Baja, PR

Sources for this page

Verify at the official NPI Registry.