Mitzarie Ann Carlo - Colon, AU.D., PH.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

License

592 Issued in PR

Practice address

Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping Center
San Juan, PR 00921

Phone

(787) 758-7910

Fax

(787) 625-1966

NPI assigned

Dec 5, 2006

Last updated

Apr 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-(OTO-CCC-RCM)

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Juan, PR
  • NPI 1568565547
  Medicare reassignment

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586390400000",
    "number": "1861550428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PROGRAMA DOCTORAL EN AUDIOLOGIA - EPS, U.PR",
            "address_2": "PO BOX 365067",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009365067",
            "telephone_number": "787-758-2525",
            "fax_number": "787-765-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "REPARTO METROPOLITANO SHOPPING CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-758-7910",
            "fax_number": "787-625-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLO - COLON",
        "first_name": "MITZARIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AU.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-04-09",
        "certification_date": "2020-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "PR",
            "license": "592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Carides
• Lilliam Magaly Carino, PHARMACY
• Carisma LLC
• Carla Rossotti Vazquez,MD,PSC
• Carlos Carle, OCCUPATIONAL THERAPI
• Priscilla Carlo Berrios
• Carlos A. Carlo Torres, DC
• Victor Jose Carlo-Chevere, M.D.
• Jose Rafael Carlo-Izquierdo, M.D.
• Anibal Carlo, MD

• Audiologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Audiologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.