Luis R. Colon, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

6193 Issued in PR

Practice address

86 Camino del Bosque
Urb Sabanera
Cidra, PR 00739-9460

Phone

(787) 739-1268

Fax

(787) 714-0224

NPI assigned

Jun 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366647141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 CAMINO DEL BOSQUE",
            "address_2": "URB SABANERA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399460",
            "telephone_number": "787-739-1268",
            "fax_number": "787-714-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 CAMINO DEL BOSQUE",
            "address_2": "URB SABANERA",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007399460",
            "telephone_number": "787-739-1268",
            "fax_number": "787-714-0224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "LUIS",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "6193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariela Colon Aviles, LCSW
• Iris A Colon Marrero, M.D.
• Ada I Colon
• Alberto J Colon, M.D.
• Krystal Colon
• Mirelys Colon, LCDA.
• Nilca Liz Colon
• Pedro Colon Sr., PT PHARMACY TECHICIA
• Ricardo Colon, PSYD
• Corporacion de Servicios de Salud Y Medicina Avanzada (Cossma)

• Specialist in Cidra, PR
• Providers in Cidra, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.