Derick E. Colon Lopez

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

DERICK E. COLON LOPEZ

Doing business as

Derick E. Colon Lopez
Ponce Rehab

Practice address

Torre Medica San Lucas
909 Tito Castro Ave. Suite 621
Ponce, PR 00716

Phone

(787) 290-4466

Fax

(787) 290-8866

NPI assigned

Apr 26, 2022

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derick Enrique Colon Lopez, MDNPI 1689663858

Title

President

Phone

(787) 290-4466

Specialties & licenses 1

Addresses

Other names 2

• DERICK E. COLON LOPEZ Doing business as
• PONCE REHAB Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Derick E. Colon Lopez, MD

  • Physical Medicine & Rehabilitation Physician
  • Ponce, PR
  • NPI 1689663858
  NPD Authorized official
• Nilda L Pizarro Batista, RPT

  • Physical Therapist
  • Ponce, PR
  • NPI 1477187284
  NPD

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1821732843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOSQUE SENORIAL",
            "address_2": "2621 PALMA DE SIERRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "787-290-4466",
            "fax_number": "787-290-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE MEDICA SAN LUCAS",
            "address_2": "909 TITO CASTRO AVE. SUITE 621",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-290-4466",
            "fax_number": "787-290-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERICK E. COLON LOPEZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "COLON LOPEZ",
        "authorized_official_first_name": "DERICK",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-290-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERICK E. COLON LOPEZ",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PONCE REHAB",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Rehabilitation Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Rehabilitation Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.