Individual provider Active NPI

Ixaira C Colon Morales, MD

  • Obstetrics & Gynecology Physician
  • Ponce, PR
National Provider Identifier
1356778468
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29543 Issued in PR
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.

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
29543PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients
A.Collazo MD, CSP PastSince Feb 19, 2023 Accepting new patients
Also OB-GYN PSC Gynecology PastSince May 9, 2016 Accepting new patients
Armando James Collazo Leandry CSP Obstetrics & Gynecology PastSince Feb 19, 2023 Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29543 PR Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
29543OtherPRMEDICAL 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

Verify at the official NPI Registry.