Sheyla Marie Collazo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16697 Issued in PR

Practice address

Bayamon Medical Plaza
Suite 603
Bayamon, PR 00959

Phone

(787) 480-3743

Fax

(787) 740-8788

NPI assigned

Feb 7, 2007

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1336289602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 AVE WINSTON CHURCHILL",
            "address_2": "SUITE 1 PMB 337",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009266013",
            "telephone_number": "787-480-3743",
            "fax_number": "787-740-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 603",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-480-3743",
            "fax_number": "787-740-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "SHEYLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Collazo Ortiz, MD
• Stephany Collazo Otero
• Jesus Johan Collazo
• Jose Vicente Collazo
• Pedro Collazo, MD
• Joanna Liz Colon Collazo, MA, PSIC
• Keimarisse Colon Diaz, PHD
• Adriana Paola Colon Llovet, PHARMD
• Eva Liz Colon Maldonado, MD
• Valerie Marie Colon Martinez

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; 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.

Verify at the official NPI Registry.