Individual provider Active NPI

Monica Collazo, PHARMD

  • Pharmacist
  • Lares, PR
National Provider Identifier
1346534096
Registry record updated May 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5487 Issued in PR
Practice address
379 Ave Los Patriotas
Lares, PR 00669-2309
Phone
(787) 897-2530
NPI assigned
May 30, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5487 PR Primary

Addresses

NPPES NPI Registry

Primary practice location

379 Ave Los Patriotas
Lares, PR 00669-2309

Mailing address

HC 1 Box 4078
Lares, PR 00669-9636
Phone (787) 235-6219

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2011.

{
    "created_epoch": "1306713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306713600000",
    "number": "1346534096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 4078",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006699636",
            "telephone_number": "787-235-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 AVE LOS PATRIOTAS",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006692309",
            "telephone_number": "787-897-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "MONICA",
        "name_prefix": "Miss",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-30",
        "last_updated": "2011-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PR",
            "license": "5487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lares, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.