NPIMap

Individual provider Active NPI

Edgar Colon Negron, MD

  • Diagnostic Radiology Physician
  • Bayamon, PR
National Provider Identifier
1912006503
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9082 Issued in PR
Practice address
Ave. Casa Linda Num. 1 Suite 101
Entrada American Military Academy
Bayamon, PR 00959-0000
Phone
(787) 789-1919
Fax
(787) 789-1921
NPI assigned
Sep 21, 2006
Last updated
Jun 17, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9082 PR Primary

Addresses

Primary practice location

Ave. Casa Linda Num. 1 Suite 101
Entrada American Military Academy
Bayamon, PR 00959-0000

Mailing address

P.O.Box 7891
PMB 509
Guaynabo, PR 00959-7891
Phone (787) 789-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000221 PR Practitioner - Diagnostic Radiology 0941296750 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Puerto Rico School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Carr 190
8 Sabana Abajo
Carolina, PR 00983-7401
Phone (787) 789-1996

Hospital & facility affiliations

  • Asem Hospital, San Juan, PR, CCN 400127

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9082PRMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Nov 28, 2016 Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Dec 22, 1999 Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe Diagnostic Radiology CurrentSince Jan 8, 2015 Accepting new patients
Clinica Las Americas Guaynabo, Inc Diagnostic Radiology Current Accepting new patients
Clinica Las Americas Guaynabo, Inc CurrentSince Dec 22, 1999 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Nov 20, 1998 Accepting new patients
Oncology & Body Imaging PSC Diagnostic Radiology CurrentSince Jun 1, 2020 Accepting new patients
Recinto de Ciencias Medicas Diagnostic Radiology CurrentSince Nov 20, 1998 Accepting new patients
Corporacion Centro Cardiovascular de Puerto Rico Y del Caribe CurrentSince Jan 8, 2015 Accepting new patients

Locations

1 Ave Casa Linda
Ste 101
Bayamon, PR 00959
Phone (787) 399-9092

Asem
San Juan, PR 00935

Interoperability endpoints

  • Direct secure messaging: edgar.colonnegron@4048.securemail.prognocis.com

Organizations & group practices 9

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1912006503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O.BOX 7891",
            "address_2": "PMB 509",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009597891",
            "telephone_number": "787-789-1919",
            "fax_number": "787-789-1921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. CASA LINDA NUM. 1 SUITE 101",
            "address_2": "ENTRADA AMERICAN MILITARY ACADEMY",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009590000",
            "telephone_number": "787-789-1919",
            "fax_number": "787-789-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON NEGRON",
        "first_name": "EDGAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PR",
            "license": "9082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.