Individual provider Active NPI

Edwin Antonio Colon Negron, MD

  • General Practice Physician
  • Cayey, PR
National Provider Identifier
1730919903
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
24024 Issued in PR
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

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
24024PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey General Practice CurrentSince Oct 1, 2024 Accepting new patients
Hospital Menonita de Cayey CurrentSince Oct 1, 2024 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

Verify at the official NPI Registry.