Individual provider Active NPI

Jansen Colberg, MD

  • Ophthalmology Physician
  • Cabo Rojo, PR
National Provider Identifier
1871652438
Registry record updated Aug 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
12870 Issued in PR
Practice address
Edf. DRS. Colberg
Carr. 100 KM 5.2 Barrio Miradero #2424
Cabo Rojo, PR 00623-0909
Phone
(787) 834-9745
Fax
(787) 834-9725
NPI assigned
Dec 8, 2006
Last updated
Aug 26, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 12870 PR Primary

Addresses

Primary practice location

Edf. DRS. Colberg
Carr. 100 KM 5.2 Barrio Miradero #2424
Cabo Rojo, PR 00623-0909

Mailing address

PO Box 909
Cabo Rojo, PR 00623-0909
Phone (787) 834-9745

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
I20040515000155 PR Practitioner - Ophthalmology 7810987419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Carr 100 KM
2 Bo Miradero 2424
Cabo Rojo, PR 00623-4470
Phone (787) 834-9745

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery95

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jansen Colberg Oftalmologo CSP Ophthalmology CurrentSince Feb 9, 2004 Accepting new patients

Locations

351 Ave Hostos
Ste 203
Mayaguez, PR 00680
Phone (787) 834-9745

5 Calle Hostos
San Sebastian, PR 00685
Phone (787) 238-2370

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1871652438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230909",
            "telephone_number": "787-834-9745",
            "fax_number": "787-834-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDF. DRS. COLBERG",
            "address_2": "CARR. 100 KM 5.2 BARRIO MIRADERO #2424",
            "city": "CABO ROJO",
            "state": "PR",
            "postal_code": "006230909",
            "telephone_number": "787-834-9745",
            "fax_number": "787-834-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERG",
        "first_name": "JANSEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "12870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cabo Rojo, PR

Sources for this page

Verify at the official NPI Registry.