Active NPI
Teresa Marie Colon, MA
- School Psychologist
- Condado, PR
National Provider Identifier
1780013433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2739
- Practice address
- 1452 Ave Ashford
Ada Lligia 408
Condado, PR 00907-1581 - Phone
- (787) 649-7212
- NPI assigned
- Nov 4, 2013
- Last updated
- Nov 4, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2739 | PR | Primary |
Addresses
Primary practice location
1452 Ave Ashford
Ada Lligia 408
Condado, PR 00907-1581
Mailing address
Carretera 19 Garden Hills Plaza
PMB 347
Guaynabo, PR 00966
Phone (787) 470-4820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2739 | PR | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samari Roman Gandulla & Asociados | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1780013433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARRETERA 19 GARDEN HILLS PLAZA",
"address_2": "PMB 347",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00966",
"telephone_number": "787-470-4820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1452 AVE ASHFORD",
"address_2": "ADA LLIGIA 408",
"city": "CONDADO",
"state": "PR",
"postal_code": "009071581",
"telephone_number": "787-649-7212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "TERESA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "PR",
"license": "2739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Condado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.