Individual provider Active NPI

Luis Armando Colon-Dueno, MD

  • General Practice Physician
  • San Juan, PR
National Provider Identifier
1992827034
Registry record updated Jan 27, 2023
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Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
9559 Issued in PR
Practice address
113 Calle Rodrigo de Triana
San Juan, PR 00918-3207
Phone
(787) 379-3152
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 9559 PR Primary

Addresses

Primary practice location

113 Calle Rodrigo de Triana
San Juan, PR 00918-3207

Mailing address

505 Ave Sagrado Corazon Apt 202
San Juan, PR 00915-3301
Phone (787) 726-5479

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
I20141112001938 PR Practitioner - General Practice 5193947851 Practice locations: Juncos, PR

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1992827034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 AVE SAGRADO CORAZON APT 202",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009153301",
            "telephone_number": "787-726-5479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 CALLE RODRIGO DE TRIANA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009183207",
            "telephone_number": "787-379-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON-DUENO",
        "first_name": "LUIS",
        "middle_name": "ARMANDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "9559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.