Mayra Milagros Colon-Candelaria, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

14102 Issued in PR

Practice address

188 Calle Tebas
Olympic Court
Las Piedras, PR 00771-9016

Phone

(787) 641-7582

Fax

(787) 641-4561

NPI assigned

Jun 8, 2006

Last updated

Jan 20, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1336189950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 CALLE TEBAS",
            "address_2": "OLYMPIC COURT",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719016",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-4561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 CALLE TEBAS",
            "address_2": "OLYMPIC COURT",
            "city": "LAS PIEDRAS",
            "state": "PR",
            "postal_code": "007719016",
            "telephone_number": "787-641-7582",
            "fax_number": "787-641-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-CANDELARIA",
        "first_name": "MAYRA",
        "middle_name": "MILAGROS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "14102",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "PR",
            "license": "14102",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "PR",
            "license": "14102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7180119",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRUZ AZUL DE PUERTO RICO",
            "identifier": "100943",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-SSS",
            "identifier": "23321 CO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vicente Chapa Juan, MD
• Sandra Lee Christian, LCSW
• Jorge I Malave Cintron, PSY. D.
• Clinica de Salud Integral Inc
• Ricardo Javier Colon-Aponte, APRN
• Consultorio Medico Dr. Julio Santory Ortiz CSP
• Corporacion de Servicios de Salud Y Medicina Avanzada (Cossma)
• Erik J Correa Vera, PSY.D.
• Cossma, Inc.
• Cossma, Inc.

• Hospitalist Physician in Las Piedras, PR
• Providers in Las Piedras, PR by specialty
• Hospitalist Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.