Individual provider Active NPI

Lisandra Perez Colon, M.D.

  • Pulmonary Disease Physician
  • Ponce, PR
National Provider Identifier
1942206115
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
13182 Issued in PR
Practice address
Edif Centro Caribe Suite 101-C
2053 Ponce by Pass
Ponce, PR 00717-1379
Phone
(939) 992-9068
Fax
(787) 812-2948
NPI assigned
Jun 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 13182 PR
Pulmonary Disease Physician 207RP1001X 13182 PR Primary

Addresses

Primary practice location

Edif Centro Caribe Suite 101-C
2053 Ponce by Pass
Ponce, PR 00717-1379

Mailing address

Urb Bosque Senorial
2617 Calle Palma Sierra
Ponce, PR 00728
Phone (939) 992-9068

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
I20040617001633 PR Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3870577513 Practice locations: Ponce, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
Ponce School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2053 Ponce by Pass
Edif Centro Caribe Suite 101 C
Ponce, PR 00717-1379
Phone (939) 992-9068

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: lisandra.perezcolon.p1@direct.vitacare.nextgenshare.com

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1942206115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB BOSQUE SENORIAL",
            "address_2": "2617 CALLE PALMA SIERRA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00728",
            "telephone_number": "939-992-9068",
            "fax_number": "787-812-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIF CENTRO CARIBE SUITE 101-C",
            "address_2": "2053 PONCE BY PASS",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171379",
            "telephone_number": "939-992-9068",
            "fax_number": "787-812-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ COLON",
        "first_name": "LISANDRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "13182",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "13182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.