Guillermo Jose Colon, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22387 Issued in PR

Practice address

Torres de Cervantes
Apt1102B
San Juan, PR 00924

Phone

(787) 225-7808

NPI assigned

May 20, 2020

Last updated

Aug 29, 2024By the provider in NPPES

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

Other identifiers 1

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Hospicio Divina Misericordia Corp.

  • Community Based Hospice Care Agency
  • Vega Alta, PR
  • NPI 1932462991

  W-2 Managing Employee

  CMS ownership

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

{
    "created_epoch": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1447873872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3501 -222",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "00795",
            "telephone_number": "787-225-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRES DE CERVANTES",
            "address_2": "APT1102B",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00924",
            "telephone_number": "787-225-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 calle Sergio Cuevas Bustamante",
            "address_2": "Esq. Ave Domenech",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00918",
            "country_code": "US",
            "telephone_number": "787-758-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1Parque de las Gaviotas",
            "address_2": "APT 1003",
            "address_purpose": "LOCATION",
            "city": "Sabana Seca",
            "state": "PR",
            "postal_code": "00952",
            "country_code": "US",
            "telephone_number": "787-225-7808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON",
        "first_name": "GUILLERMO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447873872",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Colon, RRT
• Fabiola Colon, MEDICAL STUDENT
• Francisco Tomas Colon Sr., D.M.D.
• Gabriel Colon, MD
• Gildred Esmyrna Colon, M.D.
• Hector Miguel Colon, MD
• Helga Colon, M.D.
• Idalisse Colon, MSW
• Ileana Colon
• Jose Colon, SW

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.