Active NPI
Karina Mariel Garcia Collazo, MD
- General Practice Physician
- Manati, PR
National Provider Identifier
1043826142
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 21982
- Practice address
- Est. Valle Verde #41
Calle Quebrada
Manati, PR 00674 - Phone
- (787) 884-7668
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 21982 | PR | Primary |
Addresses
Primary practice location
Est. Valle Verde #41
Calle Quebrada
Manati, PR 00674
Mailing address
PO Box 1334
Manati, PR 00674-1334
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201125000949 | PR | Practitioner - General Practice | 7911318803 |
Reassigns benefits to 2 organizations Practice locations: Juncos, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc. | General Practice | Current | Accepting new patients |
| CDT Dr Melendez, Inc | Current | Accepting new patients | |
| CDT Dr. Melendez, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients |
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Toa Alta, PR
- NPI 1639372618
General Practice, PR
-
- Radiology Clinic/Center
- Manati, PR
- NPI 1821496126
-
- Clinic/Center
- Toa Alta, PR
- NPI 1194299768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1043826142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1334",
"city": "MANATI",
"state": "PR",
"postal_code": "006741334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "EST. VALLE VERDE #41",
"address_2": "CALLE QUEBRADA",
"city": "MANATI",
"state": "PR",
"postal_code": "00674",
"telephone_number": "787-884-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA COLLAZO",
"first_name": "KARINA",
"middle_name": "MARIEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "21982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manati, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.