Individual provider Active NPI

Carlos Colon-Gomez, MD

  • Orthopaedic Surgery Physician
  • Ponce, PR
National Provider Identifier
1821058199
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
10176 Issued in PR
Practice address
Edif Parra 2225 Ponce Bypass
Suite 807-808
Ponce, PR 00717-1322
Phone
(787) 812-5811
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 10176 PR Primary

Addresses

Primary practice location

Edif Parra 2225 Ponce Bypass
Suite 807-808
Ponce, PR 00717-1322

Mailing address

609 Ave Tito Castro
Suite 102 PMB 365
Ponce, PR 00716-2232
Phone (787) 843-3661

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
I20120703000106 PR Practitioner - Orthopedic Surgery 5597920207 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 Parra by Pass
Suite 807 Parra Medical Plaza
Ponce, PR 00717-1320

Hospital & facility affiliations

  • Hospital Damas Inc Hospital, Ponce, PR, CCN 400022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement15
Lower limb (leg) arthroscopy (minimally invasive joint repair)13
Upper limb (arm) arthroscopy (minimally invasive joint repair)25

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Damas Inc 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 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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1821058199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 AVE TITO CASTRO",
            "address_2": "SUITE 102 PMB 365",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162232",
            "telephone_number": "787-843-3661",
            "fax_number": "787-843-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF PARRA 2225 PONCE BYPASS",
            "address_2": "SUITE 807-808",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171322",
            "telephone_number": "787-812-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-GOMEZ",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PR",
            "license": "10176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.