James Collazo

Individual provider Active NPI Physician Assistant · Juana Diaz, PR

NPI 1003732454 · NPPES record last updated Jun 29, 2026

Key facts

NPI
1003732454
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
3163 (PR)
Practice address
Local 1, Carr PR-1 KM 11.29
Juana Diaz, PR 00795
Phone
(787) 432-6439
NPI assigned
Jun 29, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3163 PR Yes

Addresses

Primary practice location

Local 1, Carr PR-1 KM 11.29
Juana Diaz, PR 00795

Mailing address

Carr 1 KM 11.29
Local 1
Juana Diaz, PR 00795
Phone (787) 432-6439

Other providers in Juana Diaz, PR

All providers in Juana Diaz, PR · Physician Assistant in Puerto Rico

Sources for this page

Verify at the official NPI Registry.