Individual provider Active NPI

Carmen Teresa Colon Zayas, M.D.

  • Nephrology Physician
  • Villalba, PR
National Provider Identifier
1598931024
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
009394 Issued in PR
Practice address
Carr. 149 KM. 58.6
Sector Tierra Santa
Villalba, PR 00766-1551
Phone
(787) 847-1211
Fax
(787) 847-2672
NPI assigned
May 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 009394 PR Primary

Addresses

Primary practice location

Carr. 149 KM. 58.6
Sector Tierra Santa
Villalba, PR 00766-1551

Mailing address

PO Box 1551
Villalba, PR 00766-1551
Phone (787) 662-4153

Other identifiers 1

IdentifierTypeStateIssuer
LIC MEDICOOtherPR9394

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
I20120627000434 PR Practitioner - Nephrology 3779748694 Practice locations: Bayamon, PR; Toa Baja, PR; Villalba, PR

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carretera 149 KM
6 Sector Tierra Santa
Villalba, PR 00766-1551
Phone (787) 847-1211

Hospital & facility affiliations

  • FMC Bayamon Dialysis facility, Bayamon, PR, CCN 402504

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
009394PRMDNephrology Physician

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1598931024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1551",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007661551",
            "telephone_number": "787-662-4153",
            "fax_number": "787-847-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 149 KM. 58.6",
            "address_2": "SECTOR TIERRA SANTA",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007661551",
            "telephone_number": "787-847-1211",
            "fax_number": "787-847-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON ZAYAS",
        "first_name": "CARMEN",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-05",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "009394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "9394",
            "identifier": "LIC MEDICO",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

Verify at the official NPI Registry.