Individual provider Active NPI

Victor M Collazo Rodriguez Sr., M.D.

  • Anatomic Pathology Physician
  • Mayaguez, PR
National Provider Identifier
1114160116
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
009705 Issued in PR
Practice address
14 Calle Peral N Ste 4a
Mayaguez, PR 00680-4877
Phone
(787) 832-6900
Fax
(787) 832-6902
NPI assigned
Apr 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology Physician 207ZP0101X 009705 PR Primary

Addresses

Primary practice location

14 Calle Peral N Ste 4a
Mayaguez, PR 00680-4877

Mailing address

PO Box 561196
Guayanilla, PR 00656-3196
Phone (787) 832-6900

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
I20040813000945 PR Practitioner - Pathology 9133192602 Reassigns benefits to 1 organization
Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Puerto Rico School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Calle Peral N
4A
Mayaguez, PR 00680-4877
Phone (787) 832-6900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hato Rey Pathology Associates Inc Anatomic Pathology CurrentSince Oct 15, 2022 Accepting new patients
Hato Rey Pathology Associates,PSC PastSince Oct 15, 2022 Accepting new patients
Western Pathology and Citology Lab Past Accepting new patients

Locations

300 Calle Manuel Domenech
San Juan, PR 00918
Phone (787) 758-3220

570 Calle Juan J Jimenez
San Juan, PR 00918
Phone 7877657320 ext. 225

Organizations & group practices 3

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": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1114160116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 561196",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006563196",
            "telephone_number": "787-832-6900",
            "fax_number": "787-832-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CALLE PERAL N STE 4A",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804877",
            "telephone_number": "787-832-6900",
            "fax_number": "787-832-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO RODRIGUEZ",
        "first_name": "VICTOR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-07",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "PR",
            "license": "009705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.