Individual provider Active NPI

Rafael A. Colon-Diaz, M.D.

  • General Practice Physician
  • Carolina, PR
National Provider Identifier
1447263165
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
1851 Issued in PR
Practice address
1 Calle Domingo Caceres E
Carolina, PR 00985-6013
Phone
(787) 757-1190
Fax
(787) 762-8881
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 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 1851 PR Primary

Addresses

Primary practice location

1 Calle Domingo Caceres E
Carolina, PR 00985-6013

Mailing address

PO Box 647
Carolina, PR 00986-0647
Phone (787) 757-1190

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
I20070611000591 PR Practitioner - General Practice 0840398160 Practice locations: Carolina, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1851PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1447263165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 647",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009860647",
            "telephone_number": "787-757-1190",
            "fax_number": "787-762-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CALLE DOMINGO CACERES E",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009856013",
            "telephone_number": "787-757-1190",
            "fax_number": "787-762-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-DIAZ",
        "first_name": "RAFAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "1851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.