Pedro Collazo, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

011828 Issued in PR

Practice address

70 Calle Santa Cruz
Urb. Santa Cruz
Bayamon, PR 00961-7020

Phone

(787) 620-4747

NPI assigned

Jun 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Diagnostic Radiology

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Recinto de Ciencias MedicasGroup PAC ID 3678469962, 246 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Universitario de Adulto Hospital, Rio Piedras, PR, CCN 400061
• Asem Hospital, San Juan, PR, CCN 400127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Recinto de Ciencias Medicas

  dba Recinto de Ciencias Medicas-(Radiologia-RCM)

  • Diagnostic Radiology Physician
  • San Juan, PR
  • NPI 1720166325
  Medicare reassignment Care Compare group NPD
• Centro Medico del Turabo Inc

  dba Red Medica Hima San Pablo

  • Multi-Specialty Clinic/Center
  • Caguas, PR
  • NPI 1710107883
  Medicare reassignment NPD
• Hospital Menonita Caguas Inc

  dba Grupo Medico Menonita de Caguas

  • Specialist
  • Caguas, PR
  • NPI 1295327625
  Medicare reassignment NPD
• Centro Medico del Turabo Inc

  dba Nova Infusion

  • Home Infusion Therapy Pharmacy
  • Bayamon, PR
  • NPI 1811632581
  NPD
• Hospital Menonita Caguas Inc

  • Rehabilitation Hospital Unit
  • Caguas, PR
  • NPI 1871164871
  NPD
• Recinto de Ciencias Medicas

  dba Cirugia Colorrectal RCM

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• M & P Radiologos, LLC

  • Body Imaging Physician
  • San Juan, PR
  • NPI 1043287055
  NPD (past)
• MD Radiological Services, PSC

  • Radiology Clinic/Center
  • Corozal, PR
  • NPI 1831192988
  NPD (past)
• MD Radiology Services PSC

  dba Centro Medico Profesional de la Salud

  • Clinical Medical Laboratory
  • Corozal, PR
  • NPI 1710980925
  NPD (past)
• SP Radiology

  • Diagnostic Radiology Physician
  • Bayamon, PR
  • NPI 1447474465
  NPD (past)

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

• Administracion de Servicios Medicos de Puerto Rico

  • Critical Access Hospital
  • San Juan, PR
  • NPI 1760455109
  Care Compare affiliation
• Departamento de Salud Oficial

  • General Acute Care Hospital
  • Rio Piedras, PR
  • NPI 1407859036
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326075060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 AVE PONCE DE LEON",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009073201",
            "telephone_number": "787-620-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 CALLE SANTA CRUZ",
            "address_2": "URB. SANTA CRUZ",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009617020",
            "telephone_number": "787-620-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "PEDRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "011828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanne Collazo Nieves
• Adriana Collazo Ortiz, MD
• Stephany Collazo Otero
• Jesus Johan Collazo
• Jose Vicente Collazo
• Sheyla Marie Collazo, M.D.
• Joanna Liz Colon Collazo, MA, PSIC
• Keimarisse Colon Diaz, PHD
• Adriana Paola Colon Llovet, PHARMD
• Eva Liz Colon Maldonado, MD

• Specialist in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Specialist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.