Active NPI
Ixaira C Colon Morales, MD
- Obstetrics & Gynecology Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 29543
- Practice address
- 2225 Ponce by Pass
Parra Medical Plaza Suite 409
Ponce, PR 00716-0000 - Phone
- (787) 844-6165
- Fax
- (787) 844-6130
- NPI assigned
- Oct 3, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
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.
-
- Medical Specialty Clinic/Center
- Ponce, PR
- NPI 1922402437
-
- Obstetrics & Gynecology Physician
- Ponce, PR
- NPI 1265412118
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Ponce, PR
- NPI 1841295557
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Ponce School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2213 Ponce by Pass
Hospital Damas
Ponce, PR 00717
Phone (787) 259-1190
2225 Ponce by Pass
Edif Parra Suite 409
Ponce, PR 00717-1382
Phone (787) 844-6165
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180710000599 | PR | Practitioner - Obstetrics/Gynecology | 7911253703 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29543 | PR | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Memorial Hospital Inc | Past | Accepting new patients | |
| A.Collazo MD, CSP | Past | Accepting new patients | |
| Also OB-GYN PSC | Gynecology | Past | Accepting new patients |
| Armando James Collazo Leandry CSP | Obstetrics & Gynecology | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 29543 | PR | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2225 Ponce by Pass
Parra Medical Plaza Suite 409
Ponce, PR 00716-0000
Mailing address
2225 Ponce by Pass
Parra Medical Plaza Suite 409
Ponce, PR 00717
Phone (787) 844-6165
Other practice location 1
2225 Ponce By Pass
Parra Medical Plaza Suite 409
Ponce, PR 00717-0000
Phone (787) 844-6165
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29543 | Other | PR | MEDICAL LIC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 16, 2023.
{
"created_epoch": "1380758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1356778468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS",
"address_2": "PARRA MEDICAL PLAZA SUITE 409",
"city": "PONCE",
"state": "PR",
"postal_code": "00717",
"telephone_number": "787-844-6165",
"fax_number": "787-844-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 PONCE BY PASS",
"address_2": "PARRA MEDICAL PLAZA SUITE 409",
"city": "PONCE",
"state": "PR",
"postal_code": "007160000",
"telephone_number": "787-844-6165",
"fax_number": "787-844-6130"
}
],
"practiceLocations": [
{
"address_1": "2225 Ponce By Pass",
"address_2": "PARRA MEDICAL PLAZA SUITE 409",
"address_purpose": "LOCATION",
"city": "PONCE",
"state": "PR",
"postal_code": "007170000",
"country_code": "US",
"telephone_number": "787-844-6165",
"fax_number": "787-844-6130",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLON MORALES",
"first_name": "IXAIRA",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-03",
"last_updated": "2023-02-16",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "29543",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LIC",
"identifier": "29543",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.