NPIMap

Individual provider Active NPI

Gabriel Roberto Castro Colon

  • Internal Medicine Physician
  • San Juan, PR
National Provider Identifier
1407303282
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
019322 Issued in PR
Practice address
1395 Calle San Rafael
San Juan, PR 00909-2518
Phone
(787) 999-7620
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 019322 PR Primary

Addresses

Primary practice location

1395 Calle San Rafael
San Juan, PR 00909-2518

Mailing address

1379 Paseo Don Juan Apt 6a
San Juan, PR 00907-1461
Phone (787) 918-4356

Other practice location 1

403 calle Eddie Gracia
Urb La Merced
San Juan, PR 00918
Phone (787) 918-4356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210929000381 PR Practitioner - Internal Medicine 4587061817 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1395 Calle San Rafael
San Juan, PR 00909-2518
Phone (787) 918-4356

Hospital & facility affiliations

  • Caribbean Medical Center Hospital, Fajardo, PR, CCN 400131
  • Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006
  • Centro Medico Wilma N Vazquez Hospital, Vega Baja, PR, CCN 400115
  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137
  • Centro Medico del Noreste Hospital, Fajardo, PR, CCN 400141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019322PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caribe Physicians Plaza Corporation Past Accepting new patients
Fajardo Integrated Medical Center Past Accepting new patients
SHC Owner LLC Past Accepting new patients
Doctors Center Hospital San Juan Past Accepting new patients
Instituto Medico del Norte Inc Past Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1407303282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1379 PASEO DON JUAN APT 6A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071461",
            "telephone_number": "787-918-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CALLE SAN RAFAEL",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092518",
            "telephone_number": "787-999-7620"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "403 calle Eddie Gracia",
            "address_2": "Urb La Merced",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-918-4356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO COLON",
        "first_name": "GABRIEL",
        "middle_name": "ROBERTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "019322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.