Individual provider Active NPI

Alfredo Colon Martinez, M.D.

  • Gynecology Physician
  • San Juan, PR
National Provider Identifier
1942391495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
6133 Issued in PR
Practice address
66 Calle Georgetti
San Juan, PR 00925-3607
Phone
(787) 765-4208
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

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
Gynecology Physician 207VG0400X 6133 PR Primary

Addresses

Primary practice location

66 Calle Georgetti
San Juan, PR 00925-3607

Mailing address

66 Calle Georgetti
San Juan, PR 00925-3607
Phone (787) 765-4208

Other identifiers 1

IdentifierTypeStateIssuer
0028009OtherPRSSS

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
I20120522001181 PR Practitioner - Obstetrics/Gynecology 1153584537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Puerto Rico School of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Gineco-Obstetrico del Norte PSCGroup PAC ID 9739342239, 2 clinicians

Practice addresses (Care Compare)

66 Calle Georgetti
San Juan, PR 00925-3607
Phone (787) 765-4208

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Gineco-Obstetrico del Norte PSC CurrentSince Oct 1, 1984 Accepting new patients

Locations

66 Calle Georgetti
San Juan, PR 00925
Phone (787) 528-5605

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.

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942391495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 CALLE GEORGETTI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253607",
            "telephone_number": "787-765-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE GEORGETTI",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009253607",
            "telephone_number": "787-765-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON MARTINEZ",
        "first_name": "ALFREDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PR",
            "license": "6133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "0028009",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.