Individual provider Active NPI

Jose Alberto Colon, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1962486423
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6039 Issued in PR
Practice address
431 Ave Ponce de Leon
Suite 301
San Juan, PR 00917-3418
Phone
(787) 751-5170
Fax
(787) 281-6691
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6039 PR Primary

Addresses

Primary practice location

431 Ave Ponce de Leon
Suite 301
San Juan, PR 00917-3418

Mailing address

164 Calle Pitirre
Montehiedra
San Juan, PR 00926-7103
Phone (787) 287-0054

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
I20070802000532 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8527159789 Practice locations: Hato Rey, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Puerto Rico School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

431 Ave Ponce de Leon
Hato Rey, PR 00917-3418
Phone (787) 751-5170

Hospital & facility affiliations

  • Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061

National Provider Directory

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

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1962486423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 CALLE PITIRRE",
            "address_2": "MONTEHIEDRA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009267103",
            "telephone_number": "787-287-0054",
            "fax_number": "787-281-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 AVE PONCE DE LEON",
            "address_2": "SUITE 301",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009173418",
            "telephone_number": "787-751-5170",
            "fax_number": "787-281-6691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JOSE",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.