Brunilda Collazo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2852 Issued in PR

Practice address

Calle Fernandez #6
Medical Building 4to Piso
San Juan, PR 00918-0071

Phone

(787) 998-0639

Fax

(787) 998-4516

NPI assigned

Sep 25, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1356441810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190071",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009190071",
            "telephone_number": "787-354-6337",
            "fax_number": "787-641-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE FERNANDEZ #6",
            "address_2": "MEDICAL BUILDING 4TO PISO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009180071",
            "telephone_number": "787-998-0639",
            "fax_number": "787-998-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "BRUNILDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "2852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon Luis Collazo-Bigles Sr., MD
• Diego Enrique Collazo-Irizarry, B.SC.
• Lilymar Collazo-Mojica, PH.D.
• Carmen I Collazo-Vazquez
• Ada A Collazo, BACH
• Diadette Collazo
• Ernesto Luis Collazo, M.D.
• Evelyn Collazo I, RN
• Griselle Collazo, O.T.
• Jesus Arturo Collazo, R.PH.

• Pediatrics Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.