Active NPI
Luis M. Taveira Colon, MD
- Diagnostic Radiology Physician
- New Haven, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 71108
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 San Carlos Borromeo
- Hospital Metropolitano Dr Susoni
- Hospital Comunitario Buen Samaritano Inc
- Metropolitan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021504 | PR | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Centro, Inc. | Current | Accepting new patients | |
| Concilio de Salud Integral de Loiza, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Fajardo Integrated Medical Center | Current | Accepting new patients | |
| Centro Medico del Turabo Inc | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Med Centro, Inc. | Current | Accepting new patients | |
| Dla Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Centro Medico del Turabo Inc | Current | 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.
-
- Diagnostic Radiology Physician
- Guaynabo, PR
- NPI 1366890311
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1710107883
-
- Federally Qualified Health Center (FQHC)
- Loiza, PR
- NPI 1558664102
Diagnostic Radiology
-
- General Acute Care Hospital
- Fajardo, PR
- NPI 1962280131
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1295727147
-
- Home Infusion Therapy Pharmacy
- Bayamon, PR
- NPI 1811632581
-
- Federally Qualified Health Center (FQHC)
- Penuelas, PR
- NPI 1225301641
-
- Federally Qualified Health Center (FQHC)
- Ponce, PR
- NPI 1669097374
-
- Multi-Specialty Clinic/Center
- Caguas, PR
- NPI 1124821152
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mayaguez, PR
- NPI 1083636179
-
- General Acute Care Hospital
- Aguadilla, PR
- NPI 1922034776
-
- General Acute Care Hospital
- Arecibo, PR
- NPI 1104862044
-
- Rural Acute Care Hospital
- Moca, PR
- NPI 1104856889
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1275580763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.