Colonia Medical Specialty Group

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

COLONIA MEDICAL SPECIALTY GROUP

Practice address

4531 Deleon St Ste 207
Fort Myers, FL 33907-1280

Phone

(239) 745-8207

NPI assigned

Sep 24, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Nestor Rodriguez

Title

Owner

Phone

(239) 745-8207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1639548225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST STE 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071280",
            "telephone_number": "239-745-8207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 DELEON ST STE 207",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071280",
            "telephone_number": "239-745-8207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIA MEDICAL SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "NESTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-745-8207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanny Teresa Colmenares Taborda
• Christine M Colombo
• Richaris Sulianys Colon Rivera
• Patricia Colon-Garcia, MD
• Jeffrey E Colon, MD
• Colonial Chiropractic, Inc
• Colonial Hearing Centers, Inc
• Colonial Outpatient Surgery Center, LLC
• Colonial Post Rehab Center
• Colonial Rehab Center

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.