Individual provider Active NPI

Stephanie Colon-Lopez, MD

  • Nephrology Physician
  • Bayamon, PR
National Provider Identifier
1487065199
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
19285 Issued in PR
Practice address
Bayamon Medical Center Suite 403
KM 11.7 PR-2
Bayamon, PR 00959
Phone
(787) 602-1243
NPI assigned
May 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 19285 PR Primary
Internal Medicine Physician 207R00000X 19285 PR

Addresses

Primary practice location

Bayamon Medical Center Suite 403
KM 11.7 PR-2
Bayamon, PR 00959

Mailing address

Cond. Paseomonte #381 Apt. 1011
Ave. Felisa Rincon de Gautier
San Juan, PR 00926
Phone (787) 504-8012

Other practice location 1

10 Calle Casia
San Juan, PR 00921-3200
Phone (787) 641-3670

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
I20191030000549 PR Practitioner - NephrologyPractitioner - Internal Medicine 5496087173 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bayamon Medical Ctr
403 KM 11.7 PR 2
Bayamon, PR 00959-7206

Bayamon Medical Plaza
Suite 403
Bayamon, PR 00959-7206
Phone (787) 602-1243

Hospital & facility affiliations

  • Atlantis Toa Baja Dialysis facility, Toa Baja, PR, CCN 402539
  • FMC Santa Juanita Dialysis facility, Bayamon, PR, CCN 402543
  • Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032
  • Doctors' Center Bayamon Hospital, Bayamon, PR, CCN 400102

National Provider Directory

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

Hospital & facility affiliations 2

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": "1400112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1487065199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. PASEOMONTE #381 APT. 1011",
            "address_2": "AVE. FELISA RINCON DE GAUTIER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-504-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL CENTER SUITE 403",
            "address_2": "KM 11.7 PR-2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-602-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Casia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "009213200",
            "country_code": "US",
            "telephone_number": "787-641-3670",
            "fax_number": "787-641-4561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLON-LOPEZ",
        "first_name": "STEPHANIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-15",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "19285",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.