Individual provider Active NPI

Jose Alejandro Colon Rivera, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Canovanas, PR
National Provider Identifier
1356904304
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
023049 Issued in PR
Practice address
Calle Orquidea A48 Loiza Valley
Canovanas, PR 00729
Phone
(787) 568-4723
NPI assigned
Apr 16, 2019
Last updated
Jul 25, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 023049 PR Primary

Addresses

Primary practice location

Calle Orquidea A48 Loiza Valley
Canovanas, PR 00729

Mailing address

331 Calle Oklahoma San Gerardo
San Juan, PR 00926-3305
Phone (787) 662-3814

Other practice location 1

331 Calle Oklahoma San Gerardo
San Juan, PR 00926-3305
Phone (787) 662-3814

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
I20251114003903 PR Practitioner - Geriatric Medicine 3678064847 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric Medicine
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

48 Calle Orquidea
Canovanas, PR 00729

San Gerardo Oklahoma
Suite 331
San Juan, PR 00926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
023049PRMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atenea Psychology Inc. CurrentSince Aug 17, 2025 Accepting new patients
Internal Medicine Canovanas Group Corp. Multi-Specialty CurrentSince Nov 4, 2025 Accepting new patients

Locations

48 Calle Orquidea
Canovanas, PR 00729
Phone (787) 256-0848

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1356904304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 CALLE OKLAHOMA SAN GERARDO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009263305",
            "telephone_number": "787-662-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE ORQUIDEA A48 LOIZA VALLEY",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "00729",
            "telephone_number": "787-568-4723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Calle Oklahoma San Gerardo",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009263305",
            "country_code": "US",
            "telephone_number": "787-662-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON RIVERA",
        "first_name": "JOSE",
        "middle_name": "ALEJANDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "PR",
            "license": "023049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canovanas, PR

Sources for this page

Verify at the official NPI Registry.