Individual provider Active NPI

Rosa V Colon, TS

  • Clinical Social Worker
  • Bayamon, PR
National Provider Identifier
1629540240
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9507 Issued in PR
Practice address
Urb Santa Cruz
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone
(787) 780-9196
Fax
(787) 625-6124
NPI assigned
Dec 20, 2018
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9507 PR Primary

Addresses

Primary practice location

Urb Santa Cruz
B7 Calle Santa Cruz
Bayamon, PR 00961-6902

Mailing address

Urb Santa Cruz
B7 Calle Santa Cruz
Bayamon, PR 00961-6902
Phone (787) 780-9196

Other identifiers 1

IdentifierTypeStateIssuer
9507OtherPRJUNTA DE LICENCIAMIENTO

Other names 1

  • Rosa Viviana Colon Parrilla Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Trade School Graduate

State licenses

LicenseStateTypeSpecialty
9507PRMDClinical Social Worker
9509PRMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
CDT G.M,S.P., Inc Clinical CurrentSince Aug 15, 2019 Accepting new patients
CDT GMSP Inc CurrentSince Aug 15, 2019 Accepting new patients
CDT GMSP, Inc Current Accepting new patients

Locations

B7 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 780-9191

Organizations & group practices 3

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": "1545264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1629540240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB SANTA CRUZ",
            "address_2": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196",
            "fax_number": "787-625-6124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB SANTA CRUZ",
            "address_2": "B7 CALLE SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009616902",
            "telephone_number": "787-780-9196",
            "fax_number": "787-625-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ROSA",
        "middle_name": "V",
        "credential": "TS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-20",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "9507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JUNTA DE LICENCIAMIENTO",
            "identifier": "9507",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSA",
            "last_name": "COLON PARRILLA",
            "middle_name": "VIVIANA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.