Active NPI
Lianette M Perez Colon, MD
- Obstetrics & Gynecology Physician
- Caguas, PR
National Provider Identifier
1518061969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 13503
- Practice address
- 500 Ave Degetau
Hima Plaza Suite 414
Caguas, PR 00725 - Phone
- (787) 258-0614
- Fax
- (787) 961-4663
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 13503 | PR | Primary |
Addresses
Primary practice location
500 Ave Degetau
Hima Plaza Suite 414
Caguas, PR 00725
Mailing address
100 Gran Bulevar Paseos
Suite 112 MSC 457
San Juan, PR 00926
Phone (787) 258-0614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020321 | Other | PR | PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120306000836 | PR | Practitioner - Obstetrics/Gynecology | 6204095532 | Practice locations: San Juan, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13503 | PR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caribbean OBGYN Institute, PSC | Obstetrics & Gynecology | Past | Accepting new patients |
| Innovative GYN P.S.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Caguas, PR
- NPI 1942656129
-
- Gynecology Physician
- Caguas, PR
- NPI 1578010187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503878400000",
"number": "1518061969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 GRAN BULEVAR PASEOS",
"address_2": "SUITE 112 MSC 457",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00926",
"telephone_number": "787-258-0614",
"fax_number": "787-961-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AVE DEGETAU",
"address_2": "HIMA PLAZA SUITE 414",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00725",
"telephone_number": "787-258-0614",
"fax_number": "787-961-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ COLON",
"first_name": "LIANETTE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2017-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "PR",
"license": "13503",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "0020321",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2017; 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.