Keyla Bordonada Collazo, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

23225 Issued in PR

Practice address

Ave. Laurel, Santa Juanita
Bayamon, PR 00956

Phone

(787) 798-3001

NPI assigned

Jan 15, 2020

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

State licenses

Practice roles

Locations

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.

• Serafina Obstetricia Y Ginecologia LLC

  • Obstetrics & Gynecology Physician
  • Humacao, PR
  • NPI 1962100859
  Medicare reassignment NPD
• Departamento de Salud Oficial

  dba Centro de Salud Familiar Susana Centeno

  • Rural Acute Care Hospital
  • Vieques, PR
  • NPI 1770703845
  Medicare reassignment
• Ryder Memorial Hospital Inc

  • General Acute Care Hospital
  • Humacao, PR
  • NPI 1447270319
  NPD (past)

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1043850225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006740018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. LAUREL, SANTA JUANITA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00956",
            "telephone_number": "787-798-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORDONADA COLLAZO",
        "first_name": "KEYLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "23225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Boada, MD
• Rosaleen Marie Bobonis Quiles, OD
• Jose E. Bobonis, DC
• Maria T Bobonis, MD
• Zayra Bonilla
• Karoline Grace Bordoy Molina
• Borinqen Ultrasound, Inc. (Borinquen Ultrasound)
• Cesar Oscar Borri Sola, M.D.
• Enrique Francisco Bosch-Gonsalvez, M.D.
• Raquel Bosch, MD

• Obstetrics & Gynecology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 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.