Individual provider Active NPI

Leslie Ann Colon Freyre, MD

  • Psychiatry Physician
National Provider Identifier
1568620102
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
18128 Issued in PR
Practice address
Urb. Villa Blanca
Calle Aquamarina # 68
Caguas, PR 00725
UM
Phone
(787) 585-0439
NPI assigned
May 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 18128 PR Primary

Addresses

Primary practice location

Urb. Villa Blanca
Calle Aquamarina # 68
Caguas, PR 00725
UM

Mailing address

Calle 8 D-42 Altos de la Fuente
Caguas, PR OO725
UM
Phone (787) 585-0439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18128PRMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baystate Medical Practices, Inc Psychiatry Past Accepting new patients
N.O.R. Community Mental Health, Corp. Past Accepting new patients
N.O.R. Community Mental Health, Corp. Past Accepting new patients
A.P. Community Mental Services, Corp. Past Accepting new patients

Organizations & group practices 4

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1568620102",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "CALLE 8 D-42 ALTOS DE LA FUENTE",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "OO725",
            "telephone_number": "787-585-0439"
        },
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "URB. VILLA BLANCA",
            "address_2": "CALLE AQUAMARINA # 68",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "00725",
            "telephone_number": "787-585-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON FREYRE",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "18128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.