Individual provider Active NPI

Brian Josue Hernandez Colon

  • Obstetrics & Gynecology Physician
  • Carolina, PR
National Provider Identifier
1548747553
Registry record updated Jul 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23667 Issued in PR
Practice address
444 Calle San Carlos
Carolina, PR 00982-3624
Phone
(787) 645-4257
NPI assigned
Jul 23, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2024

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 23667 PR Primary

Addresses

Primary practice location

444 Calle San Carlos
Carolina, PR 00982-3624

Mailing address

880 Ave Tito Castro Ste 102
Ponce, PR 00716-4733
Phone (787) 651-6121

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
I20240911004129 PR Practitioner - Obstetrics/Gynecology 1355881707 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obgynius LLCGroup PAC ID 5395181556, 2 clinicians

Practice addresses (Care Compare)

880 Ave Tito Castro
Suite 102
Ponce, PR 00717
Phone (787) 651-6121

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23667PRMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Obgynius LLC CurrentSince Aug 1, 2024 Accepting new patients
Her OBGYN LLC Obstetrics & Gynecology Current Accepting new patients
Saint Lukes Memorial Hospital Inc Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1548747553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 AVE TITO CASTRO STE 102",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164733",
            "telephone_number": "787-651-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 CALLE SAN CARLOS",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009823624",
            "telephone_number": "787-645-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ COLON",
        "first_name": "BRIAN",
        "middle_name": "JOSUE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-23",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "23667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

Verify at the official NPI Registry.