Individual provider Active NPI

Rolando Colon Martinez, M.D.

  • General Practice Physician
  • Arecibo, PR
National Provider Identifier
1841267200
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12017 Issued in PR
Practice address
54 Ave Barbosa
Arecibo, PR 00612-4328
Phone
(787) 817-3975
Fax
(787) 817-3974
NPI assigned
Mar 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12017 PR Primary

Addresses

Primary practice location

54 Ave Barbosa
Arecibo, PR 00612-4328

Mailing address

54 Ave Barbosa
Arecibo, PR 00612-4328
Phone (787) 817-3975

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
I20090203000309 PR Practitioner - General Practice 8527122795 Practice locations: Arecibo, PR

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12017PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275868800000",
    "number": "1841267200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 AVE BARBOSA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124328",
            "telephone_number": "787-817-3975",
            "fax_number": "787-817-3974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 AVE BARBOSA",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124328",
            "telephone_number": "787-817-3975",
            "fax_number": "787-817-3974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MARTINEZ",
        "first_name": "ROLANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arecibo, PR

Sources for this page

Verify at the official NPI Registry.