Active NPI
Elizabeth Colon, MS
- Speech-Language Pathologist
- Humacao, PR
National Provider Identifier
1629309315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 629
- Practice address
- Urb. Miradero de Humacao
Camino de Miradero 10
Humacao, PR 00791 - Phone
- (787) 504-8290
- NPI assigned
- Jan 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 629 | PR | Primary |
Addresses
Primary practice location
Urb. Miradero de Humacao
Camino de Miradero 10
Humacao, PR 00791
Mailing address
Urb. Miradero de Humacao
Camino de Miradero 10
Humacao, PR 00791
Phone (787) 504-8290
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 629 | PR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1629309315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "URB. MIRADERO DE HUMACAO",
"address_2": "CAMINO DE MIRADERO 10",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-504-8290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. MIRADERO DE HUMACAO",
"address_2": "CAMINO DE MIRADERO 10",
"city": "HUMACAO",
"state": "PR",
"postal_code": "00791",
"telephone_number": "787-504-8290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PR",
"license": "629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.