Aurelio Miguel Collado Pacheco, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

9303 Issued in PR

Practice address

77 Calle Munoz Rivera
Juana Diaz, PR 00795-1613

Phone

(787) 260-7849

Fax

(787) 837-0548

NPI assigned

Nov 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Southcal Internal Providers Inc

  • Internal Medicine Physician
  • Juana Diaz, PR
  • NPI 1215357710
  Medicare reassignment Authorized official
• RS Centro Medicina Avanzada, Corp

  • Family Medicine Physician
  • Coamo, PR
  • NPI 1346214129
  NPD (past)

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

{
    "created_epoch": "1131062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1023009396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2639 PONTEVEDRA ST.",
            "address_2": "URB. ANAIDA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CALLE MUNOZ RIVERA",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007951613",
            "telephone_number": "787-260-7849",
            "fax_number": "787-837-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLADO PACHECO",
        "first_name": "AURELIO",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-04",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "9303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlos M Claudio-Rodriguez, M.D.
• Clinica de Fisiterapia Y Rehabilitacion Logany
• Clinica Las Americas Guaynabo, Inc
• Clinica Quiropractica Ebenezer
• Clinica Terapeutica del Lenguaje
• Mayra Alejandra Collazo-Bartolomei
• Carmen E Collazo, RPH
• James Collazo
• Brenda Luz Colon Arzola, O.T.
• Jose Manuel Colon Gaztambide Sr., MD

• Specialist in Juana Diaz, PR
• Providers in Juana Diaz, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.