Individual provider Active NPI

Maria De Los Angeles Blanco Collazo, MS

  • Occupational Therapist
  • Coamo, PR
National Provider Identifier
1003698721
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
793 Issued in PR
Practice address
54 Calle Carrion Maduro N
Coamo, PR 00769-2324
Phone
(178) 750-8222
NPI assigned
Oct 17, 2023
Last updated
Oct 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 793 PR Primary

Addresses

Primary practice location

54 Calle Carrion Maduro N
Coamo, PR 00769-2324

Mailing address

HC 1 Box 10136
Coamo, PR 00769-9704
Phone (178) 750-8222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
793PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Improve Your Development P.C. CurrentSince Oct 22, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1003698721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 10136",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007699704",
            "telephone_number": "178-750-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 CALLE CARRION MADURO N",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007692324",
            "telephone_number": "178-750-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO COLLAZO",
        "first_name": "MARIA",
        "middle_name": "DE LOS ANGELES",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coamo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.