Liza Colon, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

498 Issued in PR

Practice address

Galeria 100 Shopping Center Local 2
Cabo Rojo, PR 00623-0062

Phone

(787) 254-0303

Fax

(787) 255-0302

NPI assigned

Jul 21, 2005

Last updated

Sep 16, 2022By the provider in NPPES

Sex

Female

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 2

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Western Optical Outlet, Inc

  • Optometrist
  • Hormigueros, PR
  • NPI 1083613988
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1487653366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30",
            "city": "HORMIGUEROS",
            "state": "PR",
            "postal_code": "006600030",
            "telephone_number": "787-849-0303",
            "fax_number": "787-849-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GALERIA 100 SHOPPING CENTER LOCAL 2",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230062",
            "telephone_number": "787-254-0303",
            "fax_number": "787-255-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "LIZA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2022-09-16",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38583400",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OV683",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinica Todo Salud - Aibonito, LLC (CLINICA TODO SALUD - Cabo Rojo)
• Jose L Cobian Lugo, MD
• Jansen Colberg, MD
• Henry Collazo
• Frances Marie Colom, R.N.
• Alba R. Cortes, M.A.
• CR Orthodontics and Dentofacial Orthopedics,
• Ricardo Javier Criado Carrero
• Coralis Del Mar Cruz Toro
• Alyaen Francisco Cucuta

• Optometrist in Cabo Rojo, PR
• Providers in Cabo Rojo, PR by specialty
• Optometrist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.