Organization Active NPI

Clinica Quiropractica Dr Carlos J Colon Ginel

  • Chiropractor
  • Ponce, PR
National Provider Identifier
1649800046
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLINICA QUIROPRACTICA DR CARLOS J COLON GINEL
Practice address
1720 Carr 506
Legacy Office Park Suite 306
Ponce, PR 00780
Phone
(787) 634-6300
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Carlos J Colon, DC
Title
Doctor of Chiropractic / Owner
Phone
(787) 634-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1720 Carr 506
Legacy Office Park Suite 306
Ponce, PR 00780

Mailing address

PO Box 8274
Ponce, PR 00732-8274
Phone (787) 634-6300

Other identifiers 1

IdentifierTypeStateIssuer
1033572292OtherPR1033572292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220217000240 PR Part B Supplier - Clinic/Group Practice 5799178638 Receives reassigned benefits from 1 practitioner
Practice locations: Ponce, PR

National Provider Directory

National Provider Directory

Locations

1720 Carr 506
Ofc Park
Ponce, PR 00780
Phone (787) 634-6300

1720 Carr 506
Ste 306
Ponce, PR 00780
Phone (787) 634-6300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1649800046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8274",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007328274",
            "telephone_number": "787-634-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 CARR 506",
            "address_2": "LEGACY OFFICE PARK SUITE 306",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00780",
            "telephone_number": "787-634-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA QUIROPRACTICA DR CARLOS J COLON GINEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC / OWNER",
        "authorized_official_telephone_number": "787-634-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1033572292",
            "identifier": "1033572292",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.