Active NPI
Lissandra Colon-Rolon, MD
- Emergency Medicine Physician
- San Juan, PR
National Provider Identifier
1699802017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 14310
- Practice address
- 37 Calle Vereda
Monteverdereal
San Juan, PR 00926-5984 - Phone
- (787) 409-7614
- Fax
- (787) 841-7165
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 14310 | PR | Primary |
Addresses
Primary practice location
37 Calle Vereda
Monteverdereal
San Juan, PR 00926-5984
Mailing address
37 Calle Vereda
Monteverdereal
San Juan, PR 00926-5984
Phone (787) 409-7614
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141111002226 | PR | Practitioner - Emergency Medicine | 4688896491 | Practice locations: Ponce, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14310 | PR | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699802017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 CALLE VEREDA",
"address_2": "MONTEVERDEREAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265984",
"telephone_number": "787-409-7614",
"fax_number": "787-841-7165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 CALLE VEREDA",
"address_2": "MONTEVERDEREAL",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009265984",
"telephone_number": "787-409-7614",
"fax_number": "787-841-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON-ROLON",
"first_name": "LISSANDRA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PR",
"license": "14310",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
- Arturo Colon-Herdman, M.D.
- Raphael Alexis Colon-Hernandez, M.D.
- Edgardo Miguel Colon-Ledee, M.D.
- Stephanie Colon-Marrero
- Filiberto Colon-Rodriguez, MD
- Analia Colon-Soto, MSW
- Carmen Colon-Tarbal, M.D.
- Jacqueline Milagros Colon-Vazquez, M.D.
- Kathia Jeanette Colon-Vazquez, PHARMD
- Edgardo Colon-Zavala, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.