Individual provider Active NPI

Luis M. Taveira Colon, MD

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1699295782
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
71108 Issued in CT
Practice address
333 Cedar St
New Haven, CT 06510-3206
Phone
(203) 785-2385
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 021504 PR
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 71108 CT Primary

Addresses

Primary practice location

333 Cedar St
New Haven, CT 06510-3206

Mailing address

880 Pacific St Apt 662
Stamford, CT 06902-0727

Other practice location 1

L59 Calle 7
Urb Prado Alto
Guaynabo, PR 00966
Phone (787) 233-2907

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
I20230808000098 PR Practitioner - Diagnostic Radiology 4385981232 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dla Imaging LLCGroup PAC ID 4981986015, 28 clinicians

Practice addresses (Care Compare)

15 Calle Dr Basora N
Mayaguez, PR 00680-4833
Phone (787) 265-3042

1785 Carr
Suite 21
San Juan, PR 00921-3399
Phone (787) 782-9999

371 Ave de Diego
San Juan, PR 00923-3002
Phone (787) 767-5100

522 Calle Tintillo
Guaynabo, PR 00966-1667
Phone (787) 975-9521

55 Calle Palma
Arecibo, PR 00612-4526
Phone (787) 650-1030

Hospital & facility affiliations

  • Bella Vista Hospital Hospital, Mayaguez, PR, CCN 400014
  • Hospital San Carlos Borromeo Hospital, Moca, PR, CCN 400111
  • Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117
  • Hospital Comunitario Buen Samaritano Inc Hospital, Aguadilla, PR, CCN 400079
  • Metropolitan Hospital Hospital, San Juan, PR, CCN 400106

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
021504PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Concilio de Salud Integral de Loiza, Inc. Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Fajardo Integrated Medical Center CurrentSince Aug 16, 2024 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 26, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Med Centro, Inc. CurrentSince Dec 6, 2023 Accepting new patients
Dla Imaging LLC Diagnostic Radiology CurrentSince Aug 11, 2023 Accepting new patients
Centro Medico del Turabo Inc CurrentSince Jun 26, 2023 Accepting new patients
Zenith Health Group LLC Past Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

404 Ave General Valero
Fajardo, PR 00738
Phone (781) 299-4731

1034 Ave Hostos
Ponce, PR 00716
Phone (787) 242-2279

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1699295782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 PACIFIC ST APT 662",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069020727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CEDAR ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103206",
            "telephone_number": "203-785-2385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "L59 Calle 7",
            "address_2": "Urb Prado Alto",
            "address_purpose": "LOCATION",
            "city": "Guaynabo",
            "state": "PR",
            "postal_code": "00966",
            "country_code": "US",
            "telephone_number": "787-233-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVEIRA COLON",
        "first_name": "LUIS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "021504",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "71108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.