Jaime Villa Colon, C.S.P.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

8852 Issued in PR

Legal business name

JAIME VILLA COLON, C.S.P.

Practice address

2225 Ponce by Pass
Parra Building Suite 403
Ponce, PR 00717-1320

Phone

(787) 259-3391

Fax

(787) 259-8474

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Jaime R Villa Colon, M.D.NPI 1174591861

Title

Dermatologist

Phone

(787) 259-3391

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jaime R Villa Colon, MD

  • Dermatology Physician
  • Ponce, PR
  • NPI 1174591861
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1982887931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS",
            "address_2": "PARRA BUILDING SUITE 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171320",
            "telephone_number": "787-259-3391",
            "fax_number": "787-259-8474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS",
            "address_2": "PARRA BUILDING SUITE 403",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171320",
            "telephone_number": "787-259-3391",
            "fax_number": "787-259-8474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME VILLA COLON, C.S.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "VILLA COLON",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "787-259-3391",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "PR",
            "license": "8852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "89725",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.