Individual provider Active NPI

Juan L Colon Quinones, MD

  • General Practice Physician
  • San Sebastian, PR
National Provider Identifier
1558347344
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16227 Issued in PR
Practice address
526 Ave Emerito Estrada
San Sebastian, PR 00685-3122
Phone
(939) 269-6856
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16227 PR Primary

Addresses

Primary practice location

526 Ave Emerito Estrada
San Sebastian, PR 00685-3122

Mailing address

77 Calle Areca
Las Palmas de Cerro Gordo
Vega Alta, PR 00692-9644
Phone (939) 269-6856

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
I20060111000076 PR Practitioner - General Practice 0143243618 Practice locations: San Sebastian, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16227PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Group S.S.C.S.P General Practice Past Accepting new patients
Family Health Group 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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1558347344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 CALLE ARECA",
            "address_2": "LAS PALMAS DE CERRO GORDO",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006929644",
            "telephone_number": "939-269-6856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 AVE EMERITO ESTRADA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "006853122",
            "telephone_number": "939-269-6856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON QUINONES",
        "first_name": "JUAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Sebastian, PR

Sources for this page

Verify at the official NPI Registry.