Hector Guillermo Colon, D.M.D.
Individual provider Active NPI Dentist · Orocovis, PR
NPI 1730224064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730224064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1658 (PR)
- Practice address
- Fourth of July Street #1
Second Floor
Orocovis, PR 00720 - Phone
- (787) 867-0376
- Fax
- (787) 867-5559
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160614001089 | PR | Order and Referring Only - Dentist |
1052602596 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1658 | PR | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1658 | PR | Yes |
Addresses
Primary practice location
Fourth of July Street #1
Second Floor
Orocovis, PR 00720
Mailing address
PO Box 1074
Orocovis, PR 00720-1074
Phone (787) 867-0376
Other providers in Orocovis, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.