Individual provider Active NPI

Ronald Collazo Pagan, M.D.

  • Internal Medicine Physician
  • Manati, PR
National Provider Identifier
1194958041
Registry record updated Jul 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20243 Issued in PR
Practice address
B35 Calle Elliot Velez
Manati, PR 00674-4615
Phone
(787) 970-5277
NPI assigned
Aug 26, 2009
Sex
Male
Sole proprietor
Yes

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Puerto Rico School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

B35 Calle Elliot Velez
Manati, PR 00674-4615
Phone (787) 970-5277

Hospital & facility affiliations

  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

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
I20130521000673 PR Practitioner - Internal Medicine 9830337492 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puerto Rico Concierge & Internal Medicine Services CurrentSince May 27, 2021 Accepting new patients
Centro Especializado de Medicina, C.S.P. CurrentSince May 1, 2013 Accepting new patients

Locations

B35 Calle Elliot Velez
Manati, PR 00674
Phone (787) 970-5277

315 Calle Manuel Domenech
Ste 1
San Juan, PR 00918
Phone (787) 296-4949

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJGFDD/Endpoint/HJGFDD

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20243 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

B35 Calle Elliot Velez
Manati, PR 00674-4615

Mailing address

PO Box 954
Guaynabo, PR 00970-0954
Phone (787) 970-5277

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
HE311ZOtherPRPTAN

Other names 1

NPPES NPI Registry
  • Ronald Collazo Professional name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 12, 2020.

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594512000000",
    "number": "1194958041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 954",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009700954",
            "telephone_number": "787-970-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "B35 CALLE ELLIOT VELEZ",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744615",
            "telephone_number": "787-970-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO PAGAN",
        "first_name": "RONALD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-26",
        "last_updated": "2020-07-12",
        "certification_date": "2020-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "20243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "HE311Z",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "COLLAZO",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.