Carlos R Colon Benitez Sr., MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

022557 Issued in PR

Practice address

Jardines de Fagot Altamisa 2725
Ponce, PR 00716

Phone

(787) 530-1330

NPI assigned

Oct 14, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1811650187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JARDINES DE FAGOT ALTAMISA 2725",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JARDINES DE FAGOT ALTAMISA 2725",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-530-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON BENITEZ",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "022557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Maria Colom Diaz, MEDICAL STUDENT
• Gabriel Antonio Colon Alverio
• Junelie Colon Anciani
• Jetsy Isuanette Colon Aponte Sr.
• Jonathan Colon Barreto
• Michael Colon Cordero, CHIROPRACTOR
• Amilcar Colon Cortes, PHD
• Lorena Sofia Colon Farinacci
• Angelie Colon Fernandez
• Carlos J Colon Ginel, D.C.

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.