Individual provider Active NPI

Jorge L Suria-Colon, MD

  • Psychosomatic Medicine Physician
  • Guaynabo, PR
National Provider Identifier
1851593057
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
4013 Issued in PR
Practice address
C1 Calle Nogal
Caparra Hills
Guaynabo, PR 00968-3106
Phone
(787) 787-4640
NPI assigned
Jun 1, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychosomatic Medicine Physician 2084P0015X 4013 PR Primary

Addresses

Primary practice location

C1 Calle Nogal
Caparra Hills
Guaynabo, PR 00968-3106

Mailing address

C1 Calle Nogal
Caparra Hills
Guaynabo, PR 00968-3106
Phone (787) 787-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140722000971 PR Practitioner - Psychiatry 0244456507 Reassigns benefits to 1 organization
Practice locations: San German, PR
I20181107001306 NY Practitioner - Psychiatry 0244456507 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4013PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Centro de Servicios Primarios de Salud Inc CurrentSince Jan 26, 2018 Accepting new patients
Centro de Servicios Primarios de Salud,Inc. Current Accepting new patients
Institute for Community Living , Inc. CurrentSince Oct 11, 2021 Accepting new patients
Centro de Servicios Primarios de Salud,Inc. CurrentSince Jan 26, 2018 Accepting new patients
Rising Ground. Inc Past Accepting new patients

Locations

1310 Rockaway Pkwy
Brooklyn, NY 11236
Phone (718) 257-3400

484 Rockaway Ave
Brooklyn, NY 11212
Phone (718) 290-8100

125 Broad St
Fl 3
New York, NY 10004
Phone (844) 425-4673

3 Calle Antonio Alcazar
Florida, PR 00650
Phone (787) 822-2170

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": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851593057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C1 CALLE NOGAL",
            "address_2": "CAPARRA HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683106",
            "telephone_number": "787-787-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "C1 CALLE NOGAL",
            "address_2": "CAPARRA HILLS",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009683106",
            "telephone_number": "787-787-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIA-COLON",
        "first_name": "JORGE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "PR",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

Verify at the official NPI Registry.