Individual provider Active NPI

Javier E Colon Irizarry, M.D.

  • Urology Physician
  • Mayaguez, PR
National Provider Identifier
1760672257
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
18043 Issued in PR
Practice address
Mayaguez Medical Center
410 Avenida Hostos
Mayaguez, PR 00680
Phone
(787) 806-2020
Fax
(787) 832-1257
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 18043 PR Primary

Addresses

Primary practice location

Mayaguez Medical Center
410 Avenida Hostos
Mayaguez, PR 00680

Mailing address

404 Ave Ponce de Leon
Apt 1401
San Juan, PR 00901-2236
Phone (787) 642-3267

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
I20120601000412 PR Practitioner - Urology 7618131616 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University Central del Caribe Escuela de Medicina, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Puerto Rico Urology Group LLCGroup PAC ID 7012230519, 14 clinicians

Practice addresses (Care Compare)

103 Calle de Diego E
Mayaguez, PR 00680-4863
Phone (787) 652-4205

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Urology Group LLC Urology CurrentSince Dec 22, 2015 Accepting new patients

Locations

103 Calle de Diego E
Mayaguez, PR 00680
Phone (787) 652-4205

Interoperability endpoints

  • Direct secure messaging: jcolonirizarry@1610.securemail.prognocis.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1760672257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 AVE PONCE DE LEON",
            "address_2": "APT 1401",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009012236",
            "telephone_number": "787-642-3267",
            "fax_number": "787-832-1257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYAGUEZ MEDICAL CENTER",
            "address_2": "410 AVENIDA HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00680",
            "telephone_number": "787-806-2020",
            "fax_number": "787-832-1257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON IRIZARRY",
        "first_name": "JAVIER",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "18043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.