Active NPI
Edwin Antonio Colon Negron, MD
- General Practice Physician
- Cayey, PR
National Provider Identifier
1730919903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 24024
- Practice address
- Road 14 KM 72.2
Bo Rincon Sector Lomas
Cayey, PR 00737-2800 - Phone
- (787) 535-1001
- NPI assigned
- Aug 3, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 24024 | PR | Primary |
Addresses
Primary practice location
Road 14 KM 72.2
Bo Rincon Sector Lomas
Cayey, PR 00737-2800
Mailing address
Road 14 KM 72.2
Bo Rincon Sector Lomas
Cayey, PR 00737-2800
Phone (787) 535-1001
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 |
|---|---|---|---|---|
| I20241031001362 | PR | Practitioner - General Practice | 4688107659 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24024 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Menonita de Cayey | General Practice | Current | Accepting new patients |
| Hospital Menonita de Cayey | Current | Accepting new patients |
Organizations & group practices 2
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": "1722643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728432000000",
"number": "1730919903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROAD 14 KM 72.2",
"address_2": "BO RINCON SECTOR LOMAS",
"city": "CAYEY",
"state": "PR",
"postal_code": "007372800",
"telephone_number": "787-535-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROAD 14 KM 72.2",
"address_2": "BO RINCON SECTOR LOMAS",
"city": "CAYEY",
"state": "PR",
"postal_code": "007372800",
"telephone_number": "787-535-1001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON NEGRON",
"first_name": "EDWIN",
"middle_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-03",
"last_updated": "2024-10-09",
"certification_date": "2024-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "24024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.