Active NPI
Alice M Encarnacion Collazo, M.D.
- Pediatrics Physician
- San Juan, PR
National Provider Identifier
1306880927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 8446
- Practice address
- 349 Avenida Felisa Rincon de Gautier
Suite 202
San Juan, PR 00926-6675 - Phone
- (787) 999-0889
- Fax
- (787) 999-0891
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 8446 | PR | Primary |
Addresses
Primary practice location
349 Avenida Felisa Rincon de Gautier
Suite 202
San Juan, PR 00926-6675
Mailing address
702 Calle Roosevelt
Suite 202
San Juan, PR 00907-3449
Phone (787) 484-6943
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213003665 | PR | Order and Referring Only - Pediatric Medicine | 8022452416 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8446 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Pediatrico Paseos | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- alice.encarnacion@hpmpr.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gerardo Tosca-Claudio, MD
- Pediatrics Physician
- San Juan, PR
- NPI 1871618785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349049600000",
"number": "1306880927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 CALLE ROOSEVELT",
"address_2": "SUITE 202",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009073449",
"telephone_number": "787-484-6943",
"fax_number": "787-724-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 AVENIDA FELISA RINCON DE GAUTIER",
"address_2": "SUITE 202",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009266675",
"telephone_number": "787-999-0889",
"fax_number": "787-999-0891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENCARNACION COLLAZO",
"first_name": "ALICE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2012-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PR",
"license": "8446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
- Empleos Ahora Inc (Farmacia Summit Hills)
- Empresas Alvaro Torres
- Empresas Duarte LLC
- Empresas Radian, Inc. (Laboratorio Clinico Cupey Gardens)
- En Bienestar, LLC
- Valerie Sofia Encarnacion Cortes
- Gilberto J Encarnacion Lopez, GENERAL MEDICINE
- Dialisbeth Encarnacion Lugo, PA
- Gaspar Encarnacion, MD
- Rolando Joel Encarnacion, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.