Individual provider Active NPI

Raphael Alexis Colon-Hernandez, M.D.

  • Emergency Medicine Physician
  • San Juan, PR
National Provider Identifier
1730382870
Registry record updated May 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
11479 Issued in PR
Practice address
550 Calle Elma
Caparra Heights
San Juan, PR 00920-4703
Phone
(504) 810-3110
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 11479 PR Primary

Addresses

Primary practice location

550 Calle Elma
Caparra Heights
San Juan, PR 00920-4703

Mailing address

9231 N 29TH St
Phoenix, AZ 85028-4805
Phone (504) 810-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110426000043 AZ Practitioner - Emergency Medicine 0840337705 Reassigns benefits to 1 organization
I20210210002808 FL Practitioner - Emergency Medicine 0840337705 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
W4P LLC Emergency Medicine CurrentSince Feb 15, 2024 Accepting new patients
Progressive Medical Associates PLLC Emergency Medicine CurrentSince Dec 7, 2015 Accepting new patients
Louisiana Em-1 Medical Services, PA Past Accepting new patients
Michael E Isabelle MD Apmc Emergency Medicine Past Accepting new patients

Locations

1660 S Alma School Rd
Ste 213
Mesa, AZ 85210
Phone (480) 345-3300

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

6201 N Suncoast Blvd
Crystal River, FL 34428
Phone (352) 527-0671

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3065 James L Redman Pkwy
Plant City, FL 33566
Phone (813) 759-4900

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

12530 US Highway 301 S
Riverview, FL 33578
Phone (813) 413-3888

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

5234 E Fowler Ave
Temple Terrace, FL 33617
Phone (813) 496-2744

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304985600000",
    "number": "1730382870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9231 N 29TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850284805",
            "telephone_number": "504-810-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 CALLE ELMA",
            "address_2": "CAPARRA HEIGHTS",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009204703",
            "telephone_number": "504-810-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-HERNANDEZ",
        "first_name": "RAPHAEL",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2011-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "11479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.