Active NPI
Colon Cancer Care LLC
- Hematology & Oncology Physician
- San Juan, PR
National Provider Identifier
1417770942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- COLON CANCER CARE LLC
- Practice address
- 405 Calle German Moyer
San Juan, PR 00918-2679 - Phone
- (787) 607-1502
- NPI assigned
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Miguel Angel Colon Donate, MD
- Title
- MD
- Phone
- (787) 607-1502
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
405 Calle German Moyer
San Juan, PR 00918-2679
Mailing address
36 Calle Vereda Urb Monte Verde Real
San Juan, PR 00926-5984
Phone (787) 607-1502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
405 Calle German Moyer
San Juan, PR 00918
Phone (787) 607-1502
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- San Juan, PR
- NPI 1609262781
-
- Family Nurse Practitioner
- San Juan, PR
- NPI 1588309405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730764800000",
"number": "1417770942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CALLE VEREDA URB MONTE VERDE REAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265984",
"telephone_number": "787-607-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 CALLE GERMAN MOYER",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009182679",
"telephone_number": "787-607-1502"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLON CANCER CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A",
"authorized_official_last_name": "COLON DONATE",
"authorized_official_first_name": "MIGUEL",
"authorized_official_middle_name": "ANGEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "787-607-1502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.