Edgardo Colon-Zavala, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

16806 Issued in PR

Practice address

715 Ave Ponce de Leon Pda 37
Hospital Auxilio Mutuo Centro Neurodiagnostico
San Juan, PR 00918

Phone

(787) 422-8886

Fax

(787) 294-0335

NPI assigned

Jun 8, 2007

Last updated

Jan 6, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

University of Puerto Rico School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physiotherapy Rehabilitation Services IncGroup PAC ID 0345406187, shared by 2 NPIs, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auxilio Mutuo Hospital Hospital, San Juan, PR, CCN 400016
• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Alpha Medical Testing and Care, PSC

  • Health Service Clinic/Center
  • Canovanas, PR
  • NPI 1063785590
  Medicare reassignment NPD
• Cardiolife Studies Corp.

  • Cardiovascular Specialist/Technologist
  • Guaynabo, PR
  • NPI 1376368605
  Medicare reassignment NPD
• Heart and Vascular Health Care Inc

  • Sonography Specialist/Technologist Cardiovascular
  • Fajardo, PR
  • NPI 1922857937
  Medicare reassignment

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

• Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc.

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1265493001
  Care Compare affiliation
• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1730382573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HATO REY STATION",
            "address_2": "PO BOX 194319",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009194319",
            "telephone_number": "787-422-8886",
            "fax_number": "787-294-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 AVE PONCE DE LEON PDA 37",
            "address_2": "HOSPITAL AUXILIO MUTUO CENTRO NEURODIAGNOSTICO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-422-8886",
            "fax_number": "787-294-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-ZAVALA",
        "first_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "16806",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lissandra Colon-Rolon, MD
• Analia Colon-Soto, MSW
• Carmen Colon-Tarbal, M.D.
• Jacqueline Milagros Colon-Vazquez, M.D.
• Kathia Jeanette Colon-Vazquez, PHARMD
• Abimael Rentas Colon, PHARMACY TECHNICIAN
• Aixalis Colon, R.N.
• Amanda Colon
• Amaryllis Munoz Colon
• Ana Isabel Colon

• Neurology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.

Verify at the official NPI Registry.