Individual provider Active NPI

Karina Mariel Garcia Collazo, MD

  • General Practice Physician
  • Manati, PR
National Provider Identifier
1043826142
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
21982 Issued in PR
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

Updated by the provider on Sep 23, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Salud Integral En la Montana, Inc. General Practice Current Accepting new patients
CDT Dr Melendez, Inc CurrentSince Apr 1, 2023 Accepting new patients
CDT Dr. Melendez, Inc CurrentSince Apr 1, 2023 Accepting new patients
Salud Integral En la Montana, Inc CurrentSince Jun 26, 2021 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.

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

Verify at the official NPI Registry.