Individual provider Active NPI

Oscar E Vale Colon, M.D.

  • Internal Medicine Physician
  • Moca, PR
National Provider Identifier
1841289451
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10376 Issued in PR
Practice address
Carr. 111 Edificio Vale Colon
Oficina Num 6
Moca, PR 00676
Phone
(787) 877-1990
Fax
(787) 818-5973
NPI assigned
Oct 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Internal Medicine Physician 207R00000X 10376 PR Primary

Addresses

Primary practice location

Carr. 111 Edificio Vale Colon
Oficina Num 6
Moca, PR 00676

Mailing address

PO Box 1858
Moca, PR 00676-1858
Phone (787) 877-1990

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
I20170427000818 PR Practitioner - Internal Medicine 6103126214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

111 St KM 3
Office 6
Moca, PR 00676
Phone (787) 877-1990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10376PRMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Cvo Internista LLC Internal Medicine CurrentSince Jul 3, 2020 Accepting new patients
Vale Colon Internal Medicine PSC Specialist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1841289451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1858",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006761858",
            "telephone_number": "787-877-1990",
            "fax_number": "787-818-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 111 EDIFICIO VALE COLON",
            "address_2": "OFICINA NUM 6",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "00676",
            "telephone_number": "787-877-1990",
            "fax_number": "787-818-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALE COLON",
        "first_name": "OSCAR",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "10376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.