Individual provider Active NPI

Gardine Michelle Colon Guerra, MD

  • Emergency Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1821254459
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
18291 Issued in PR
Practice address
35 Calle Juan C Borbon
Suite Number 67-395
Guaynabo, PR 00969-5374
Phone
(787) 662-6832
NPI assigned
Aug 4, 2008
Last updated
Sep 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 18291 PR
Emergency Medicine Physician 207P00000X 18291 PR Primary

Addresses

Primary practice location

35 Calle Juan C Borbon
Suite Number 67-395
Guaynabo, PR 00969-5374

Mailing address

35 Calle Juan C Borbon
Suite Number 67-395
Guaynabo, PR 00969-5374
Phone (787) 662-6832

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
I20111012000113 PR Practitioner - Emergency Medicine 8921270182 Reassigns benefits to 3 organizations
Practice locations: Cayey, PR

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Menonita de Cayey CurrentSince Dec 1, 2016 Accepting new patients
Mennonite General Hospital Inc. CurrentSince May 22, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 28, 2012 Accepting new patients
Mennonite General Hospital Inc CurrentSince May 22, 2019 Accepting new patients
Centro Medico del Turabo Inc CurrentSince May 28, 2012 Accepting new patients
Hospital Menonita de Cayey CurrentSince Dec 1, 2016 Accepting new patients

Locations

100 Ave Luis Munoz Marin
Caguas, PR 00725
Phone (787) 423-2261

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1821254459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON",
            "address_2": "SUITE NUMBER 67-395",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-662-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 CALLE JUAN C BORBON",
            "address_2": "SUITE NUMBER 67-395",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009695374",
            "telephone_number": "787-662-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON GUERRA",
        "first_name": "GARDINE",
        "middle_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PR",
            "license": "18291",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "18291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.