Jose Ramon Colon - Leon, MD

Individual provider Active NPI Pediatrics Physician · Santurce, PR

NPI 1356346019 · NPPES record last updated Sep 1, 2016

Key facts

NPI
1356346019
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
6480 (PR)
Practice address
Calle Victoria
1559 1-B
Santurce, PR 00912
Phone
(787) 724-7759
Fax
(787) 724-7766
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
6480PRMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The San Jorge Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sjcjcolon@yourcarecommunity.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 6480 PR Yes

Addresses

Primary practice location

Calle Victoria
1559 1-B
Santurce, PR 00912

Mailing address

PO Box 40987
San Juan, PR 00940-0987
Phone (787) 724-7759

Other providers in Santurce, PR

All providers in Santurce, PR · Pediatrics Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.