Individual provider Active NPI

Aurilisse Colon, OD

  • Optometrist
  • Barranquitas, PR
National Provider Identifier
1902951262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
291 Issued in PR
Practice address
2 Calle B
Suite 1
Barranquitas, PR 00794-1911
Phone
(787) 857-1807
Fax
(787) 857-1807
NPI assigned
Jan 24, 2007
Sex
Female
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
Optometrist 152W00000X 291 PR Primary

Addresses

Primary practice location

2 Calle B
Suite 1
Barranquitas, PR 00794-1911

Mailing address

2 Calle B
Suite 1
Barranquitas, PR 00794-1911
Phone (787) 857-1807

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051115000581 PR Practitioner - Optometry 4880613272 Practice locations: Barranquitas, PR

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Calle B
Barranquitas, PR 00794-1911
Phone (787) 857-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
291PRMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Consultorio Visual Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902951262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CALLE B",
            "address_2": "SUITE 1",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941911",
            "telephone_number": "787-857-1807",
            "fax_number": "787-857-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CALLE B",
            "address_2": "SUITE 1",
            "city": "BARRANQUITAS",
            "state": "PR",
            "postal_code": "007941911",
            "telephone_number": "787-857-1807",
            "fax_number": "787-857-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "AURILISSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barranquitas, PR

Sources for this page

Verify at the official NPI Registry.