Individual provider Active NPI

Griseida Vazquez Colon, M.D.

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1659522795
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
17182 Issued in PR
Practice address
Manati Medical PLZ
Manati, PR 00674-5507
Phone
(787) 621-3700
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response Attendant 146D00000X 17182 PR
General Practice Physician 208D00000X 17182 PR Primary

Addresses

Primary practice location

Manati Medical PLZ
Manati, PR 00674-5507

Mailing address

PO Box 2116
Orocovis, PR 00720-2116
Phone (787) 646-2305

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
I20120926000298 PR Practitioner - General PracticePractitioner - Emergency Medicine 4688823255 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17182PRMDPersonal Emergency Response Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Adonai Health Center, Inc CurrentSince Jul 26, 2014 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Jun 30, 2012 Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Jun 30, 2012 Accepting new patients
Neuroepilepsy LLC PastSince Jul 1, 2025 Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (809) 862-3000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1659522795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2116",
            "city": "OROCOVIS",
            "state": "PR",
            "postal_code": "007202116",
            "telephone_number": "787-646-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL PLZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745507",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "GRISEIDA",
        "middle_name": "VAZQUEZ",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "PR",
            "license": "17182",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.