Individual provider Active NPI

Cristian S. Colon-Rivera, M.D.

  • Family Medicine Physician
  • Moca, PR
National Provider Identifier
1972772887
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17018 Issued in PR
Practice address
3 Calle Catalino Velazquez
Moca, PR 00676-5022
Phone
(787) 560-3423
Fax
(787) 877-9680
NPI assigned
Feb 25, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17018 PR Primary
General Practice Physician 208D00000X 17018 PR

Addresses

Primary practice location

3 Calle Catalino Velazquez
Moca, PR 00676-5022

Mailing address

1854 Ave McLeary
Apt B5
San Juan, PR 00911
Phone (787) 560-3423

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
I20110810000573 PR Practitioner - Family PracticePractitioner - General Practice 2163691064 Practice locations: Moca, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

59 Don Chemary
Moca, PR 00676
Phone (787) 877-9680

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17018PRMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Vision Medical Advisory Group, Inc. Current 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": "1203897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1972772887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1854 AVE MCLEARY",
            "address_2": "APT B5",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00911",
            "telephone_number": "787-560-3423",
            "fax_number": "787-877-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CALLE CATALINO VELAZQUEZ",
            "city": "MOCA",
            "state": "PR",
            "postal_code": "006765022",
            "telephone_number": "787-560-3423",
            "fax_number": "787-877-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-RIVERA",
        "first_name": "CRISTIAN",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-25",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "17018",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moca, PR

Sources for this page

Verify at the official NPI Registry.