Louis M Collazo MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME0053487 Issued in FL

Legal business name

LOUIS M COLLAZO MD PA

Practice address

4308 Alton Rd
620
Miami Beach, FL 33140-4556

Phone

(305) 777-6828

Fax

(305) 534-1402

NPI assigned

May 7, 2009

Organization subpart

No

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

Authorized official

Name

Sandra Yolanda Gomez

Title

Office Manager

Phone

(305) 777-6828

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susana Gonzalez, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami Beach, FL
  • NPI 1063436004
  NPD (past)

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

{
    "created_epoch": "1241654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1083848899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-777-6828",
            "fax_number": "305-534-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 ALTON RD",
            "address_2": "620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331404556",
            "telephone_number": "305-777-6828",
            "fax_number": "305-534-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS M COLLAZO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-07",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-777-6828"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0053487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Lorenzo
• Leyter Lorenzo
• Lori Bell, P.a.
• Ronald R Loring, O.D.
• Rebecca Lormand, RN
• Low Vision Therapy Services of Miami Beach
• Joiwind R Lowe, DOM
• Philip Randall Lozman, MD
• Chere Roshall Lucas Anthony, M.D.
• Randy Lugo Rodriguez, APRN

• Specialist in Miami Beach, FL
• Providers in Miami Beach, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.