Individual provider Active NPI

Jorge Carlos Suarez Colon, M.D.

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1356770226
Registry record updated Dec 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
18788 Issued in PR
Practice address
Hospital Auxilio Mutuo
Ave. Ponce de Leon Parada 37
San Juan, PR 00919
Phone
(787) 469-5828
NPI assigned
Nov 1, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2017

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 18788 PR Primary

Addresses

Primary practice location

Hospital Auxilio Mutuo
Ave. Ponce de Leon Parada 37
San Juan, PR 00919

Mailing address

2305 Calle Laurel Apt 707
Calle Laurel
San Juan, PR 00913-4608
Phone (787) 406-5428

Other identifiers 1

IdentifierTypeStateIssuer
18788OtherPROTHER

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
I20171220000662 PR Practitioner - General Practice 4587922521 Practice locations: Guaynabo, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Uu43 Calle
Suite 30
Bayamon, PR 00956-4701
Phone (787) 787-8669

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18788PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Hospital Guaynabo Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jorge.suarez@3787.securemail.prognocis.com

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.

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": "1383264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1356770226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 CALLE LAUREL APT 707",
            "address_2": "CALLE LAUREL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009134608",
            "telephone_number": "787-406-5428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HOSPITAL AUXILIO MUTUO",
            "address_2": "AVE. PONCE DE LEON PARADA 37",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00919",
            "telephone_number": "787-469-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ COLON",
        "first_name": "JORGE",
        "middle_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-01",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "18788",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.