Individual provider Active NPI

Anitza Gonzalez Colon

  • General Practice Physician
  • Moca, PR
National Provider Identifier
1598844045
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13932 Issued in PR
Practice address
51 Ave la Moca
Moca, PR 00676-4000
Phone
(787) 877-7151
Fax
(787) 818-3872
NPI assigned
Nov 3, 2006
Last updated
Jul 28, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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 13932 PR Primary

Addresses

Primary practice location

51 Ave la Moca
Moca, PR 00676-4000

Mailing address

51 Ave la Moca
Moca, PR 00676-4000

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
I20080711000148 PR Practitioner - General Practice 5597837294 Reassigns benefits to 1 organization
Practice locations: Moca, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13932PRMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gonzalez Colon Medical Services, C.S.P. General Practice CurrentSince Jul 11, 2008 Accepting new patients

Locations

51 Ave La Moca
Moca, PR 00676
Phone (787) 877-7151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1598844045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 AVE LA MOCA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 AVE LA MOCA",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006764000",
            "telephone_number": "787-877-7151",
            "fax_number": "787-818-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ COLON",
        "first_name": "ANITZA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.