Individual provider Active NPI

Denisse Encarnacion Colon, MD

  • General Practice Physician
  • Ponce, PR
National Provider Identifier
1376628115
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
15548 Issued in PR
Practice address
Plazoleta Las America
Suite 101
Ponce, PR 00717
Phone
(787) 842-8945
NPI assigned
Oct 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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 15548 PR Primary

Addresses

Primary practice location

Plazoleta Las America
Suite 101
Ponce, PR 00717

Mailing address

136 Paseo Real
Mans Camino Real
Juana Diaz, PR 00795
Phone (787) 963-4114

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
I20050412001176 PR Practitioner - General Practice 6305883208 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Policlinica Las Americas Medical Center, Inc. General Practice CurrentSince Jan 20, 2015 Accepting new patients
Policlinica Las Americas Medical Center Inc PastSince Mar 9, 2020 Accepting new patients
Centro Ceski C S P PastSince Jan 12, 2010 Accepting new patients

Locations

2015 Blvd Luis a Ferre
Ste 101
Ponce, PR 00717

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1376628115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 PASEO REAL",
            "address_2": "MANS CAMINO REAL",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-963-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PLAZOLETA LAS AMERICA",
            "address_2": "SUITE 101",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-842-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENCARNACION COLON",
        "first_name": "DENISSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2021-08-05",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.