Individual provider Active NPI

Yanira Bernise Colon Rodriguez, MD

  • General Practice Physician
  • Villalba, PR
National Provider Identifier
1689558736
Registry record updated Aug 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
024617 Issued in PR
Practice address
HC 4 Box 4032
Villalba, PR 00766-9502
Phone
(623) 221-3618
NPI assigned
Aug 2, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 024617 PR Primary

Addresses

Primary practice location

HC 4 Box 4032
Villalba, PR 00766-9502

Mailing address

HC 4 Box 4032
Villalba, PR 00766-9502
Phone (623) 221-3618

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
I20251113000681 PR Practitioner - General Practice 7315438777 Reassigns benefits to 1 organization
Practice locations: Coto Laurel, PR; Villalba, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

402 Torre San Cristobal
Coto Laurel, PR 00780-2860
Phone (787) 842-2300

Carr 149 KM 58
Villalba, PR 00766-1507
Phone 7878471030601

HC 4 Box
Suite 4032
Villalba, PR 00766

HC 4 Box
Suite 4032
Villalba, PR 00766-9502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024617PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Map Health Systems Inc CurrentSince Nov 1, 2025 Accepting new patients
Map Health Systems Inc General Practice CurrentSince Nov 1, 2025 Accepting new patients

Organizations & group practices 2

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": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754092800000",
    "number": "1689558736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 4032",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669502",
            "telephone_number": "623-221-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 4 BOX 4032",
            "city": "VILLALBA",
            "state": "PR",
            "postal_code": "007669502",
            "telephone_number": "623-221-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON RODRIGUEZ",
        "first_name": "YANIRA",
        "middle_name": "BERNISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-08-02",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "024617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villalba, PR

Sources for this page

Verify at the official NPI Registry.