Individual provider Active NPI

Irvin Collado Rosas, MD

  • Ophthalmology Physician
  • Mayaguez, PR
National Provider Identifier
1174584767
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
9414 Issued in PR
Practice address
16 Calle Nelson Perea
16 Nelson Perea Street
Mayaguez, PR 00680-4948
Phone
(787) 265-3650
Fax
(787) 832-2533
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 9414 PR Primary

Addresses

Primary practice location

16 Calle Nelson Perea
16 Nelson Perea Street
Mayaguez, PR 00680-4948

Mailing address

PO Box 1059
16 Nelson Perea Street
Mayaguez, PR 00681-1059
Phone (787) 265-3650

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
I20120926000268 PR Practitioner - Ophthalmology 8022180140 Practice locations: Mayaguez, PR

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16 Nelson Perea St
Mayaguez, PR 00681-1059
Phone (787) 265-3650

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery524

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Cirugia Ambulatoria Dr. Luis a. Vazquez, Inc Current Accepting new patients
Optica Collado, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1174584767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1059",
            "address_2": "16 NELSON PEREA STREET",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006811059",
            "telephone_number": "787-265-3650",
            "fax_number": "787-832-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CALLE NELSON PEREA",
            "address_2": "16 NELSON PEREA STREET",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006804948",
            "telephone_number": "787-265-3650",
            "fax_number": "787-832-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLADO ROSAS",
        "first_name": "IRVIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PR",
            "license": "9414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayaguez, PR

Sources for this page

Verify at the official NPI Registry.