Individual provider Active NPI

Pedro Gerardo Colon

  • Dentist
  • Caguas, PR
National Provider Identifier
1487696381
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1889 Issued in PR
Practice address
201 Calle Gautier Benitez
Consolidated Medical Plaza, Suite 202
Caguas, PR 00725-5527
Phone
(787) 743-2128
Fax
(787) 743-2128
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1889 PR Primary

Addresses

Primary practice location

201 Calle Gautier Benitez
Consolidated Medical Plaza, Suite 202
Caguas, PR 00725-5527

Mailing address

201 Calle Gautier Benitez
Consolidated Medical Plaza, Suite 202
Caguas, PR 00725-5527
Phone (787) 743-2128

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160531000864 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 6901196179

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1889PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487696381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA, SUITE 202",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-743-2128",
            "fax_number": "787-743-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CALLE GAUTIER BENITEZ",
            "address_2": "CONSOLIDATED MEDICAL PLAZA, SUITE 202",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007255527",
            "telephone_number": "787-743-2128",
            "fax_number": "787-743-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "PEDRO",
        "middle_name": "GERARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.