Active NPI
Ada M Colon-Borrero, M.D
- Family Medicine Physician
- Clermont, FL
National Provider Identifier
1780884163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 16814
- Practice address
- 805 Oakley Seaver Dr
Clermont, FL 34711-1968 - Phone
- (352) 536-8234
- Fax
- (407) 513-9234
- NPI assigned
- Jul 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16814 | PR | |
| Family Medicine Physician | 207Q00000X | 16814 | PR | Primary |
Addresses
Primary practice location
805 Oakley Seaver Dr
Clermont, FL 34711-1968
Mailing address
805 Oakley Seaver Dr
Clermont, FL 34711-1968
Phone (352) 536-8234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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 |
|---|---|---|---|---|
| I20190416001144 | FL | Order and Referring Only - Family Practice | 1557602786 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16814 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488931200000",
"number": "1780884163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 OAKLEY SEAVER DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111968",
"telephone_number": "352-536-8234",
"fax_number": "407-513-9234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 OAKLEY SEAVER DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347111968",
"telephone_number": "352-536-8234",
"fax_number": "407-513-9234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON-BORRERO",
"first_name": "ADA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2017-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "16814",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PR",
"license": "16814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
- Dawn Marie Cohen, LCSW
- Christine Cole-Bowron
- Annick K Cole, RBT
- Billy Coleman, CSFA
- Jasmine Collins
- Lola Colon
- Melanie M Colon
- Comfortable Care Dental Health Professionals, P.a. (Dental Care of Eagleridge)
- Comfortable Care Dental Health Professionals, P.a. (Plaza Collina Dental Care)
- Comfortable Care Dental Health Professionals, P.a.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.