Individual provider Active NPI

Angel R Colon, M.D.

  • Diagnostic Radiology Physician
  • Mayaguez, PR
National Provider Identifier
1720086069
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
10300 Issued in PR
Practice address
1065 Ave Los Corazones
Edif Medico Profesional; Ofic 110-111
Mayaguez, PR 00680-7060
Phone
(787) 265-3730
Fax
(787) 265-3730
NPI assigned
Jul 11, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 10300 PR Primary

Addresses

Primary practice location

1065 Ave Los Corazones
Edif Medico Profesional; Ofic 110-111
Mayaguez, PR 00680-7060

Mailing address

PO Box 6470
Mayaguez, PR 00681-6470
Phone (787) 265-3730

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
I20041122000226 PR Practitioner - Diagnostic Radiology 4284699091 Reassigns benefits to 2 organizations
Practice locations: Mayaguez, PR; San German, PR

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1065 Ave Los Corazones
Mayaguez, PR 00680-7060
Phone (787) 831-5922

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10300PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Mayaguez Inc CurrentSince Sep 25, 2018 Accepting new patients
Hospital San Carlos Incorporado Diagnostic Radiology Past Accepting new patients
Hospital Comunitario Buen Samaritano Inc Past Accepting new patients

Locations

15 Calle Dr Basora N
Mayaguez, PR 00680
Phone (787) 342-6120

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1720086069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6470",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006816470",
            "telephone_number": "787-265-3730",
            "fax_number": "787-265-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 AVE LOS CORAZONES",
            "address_2": "EDIF MEDICO PROFESIONAL; OFIC 110-111",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006807060",
            "telephone_number": "787-265-3730",
            "fax_number": "787-265-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "ANGEL",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "10300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.