Individual provider Active NPI

Jorge A. Martinez Colon, M.D.

  • Obstetrics & Gynecology Physician
  • Ponce, PR
National Provider Identifier
1528042462
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
6218 Issued in PR
Practice address
86 Ave Fagot
Ponce, PR 00716-4061
Phone
(787) 848-0008
Fax
(787) 848-0008
NPI assigned
Dec 5, 2005
Last updated
Oct 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 6218 PR Primary

Addresses

Primary practice location

86 Ave Fagot
Ponce, PR 00716-4061

Mailing address

PO Box 10610
Ponce, PR 00732-0610
Phone (787) 848-0008

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
I20110310001083 PR Practitioner - Obstetrics/Gynecology 3678755709 Practice locations: Ponce, PR; Yauco, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1528042462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10610",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007320610",
            "telephone_number": "787-848-0008",
            "fax_number": "787-848-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 AVE FAGOT",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164061",
            "telephone_number": "787-848-0008",
            "fax_number": "787-848-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ COLON",
        "first_name": "JORGE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "6218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.