Active NPI
Arcangel Collazo Cruz
- Licensed Practical Nurse
- San German, PR
National Provider Identifier
1144478272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 27305
- Practice address
- Sec El Coto KM 2.0 Carr 347
San German, PR 00683 - Phone
- (787) 538-4114
- NPI assigned
- Sep 3, 2008
- Last updated
- Sep 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 27305 | PR | Primary |
Addresses
Primary practice location
Sec El Coto KM 2.0 Carr 347
San German, PR 00683
Mailing address
PO Box 7999
Mayaguez, PR 00681-7999
Phone (787) 538-4114
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 27305 | Other | PR | LIC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27305 | PR | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220400000000",
"number": "1144478272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7999",
"city": "MAYAGUEZ",
"state": "PR",
"postal_code": "006817999",
"telephone_number": "787-538-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SEC EL COTO KM 2.0 CARR 347",
"city": "SAN GERMAN",
"state": "PR",
"postal_code": "00683",
"telephone_number": "787-538-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO CRUZ",
"first_name": "ARCANGEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-03",
"last_updated": "2008-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "PR",
"license": "27305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIC",
"identifier": "27305",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}Other providers in San German, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.