Active NPI
Maria L Collazo-Santiago, PHYSICAL THERAPIST
- Physical Therapist
- Humacao, PR
National Provider Identifier
1376176701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 879
- Practice address
- 55 Calle Flor Gerena S
Humacao, PR 00791-4207 - Phone
- (787) 285-0080
- Fax
- (787) 285-0461
- NPI assigned
- Feb 13, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 879 | PR | Primary |
Addresses
Primary practice location
55 Calle Flor Gerena S
Humacao, PR 00791-4207
Mailing address
21 Calle Cerezo
Las Piedras, PR 00771-9023
Phone (939) 216-1924
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200504001410 | PR | Practitioner - Physical Therapist in Private Practice | 7911338165 | Practice locations: Dorado, PR; Humacao, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 879 | PR | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dba Dr. Noel Arnau | Current | Accepting new patients |
Locations
55 Calle Flor Gerena S
Humacao, PR 00791
Phone (787) 285-0080
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Humacao, PR
- NPI 1396490512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585008000000",
"number": "1376176701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 CALLE CEREZO",
"city": "LAS PIEDRAS",
"state": "PR",
"postal_code": "007719023",
"telephone_number": "939-216-1924",
"fax_number": "787-285-0461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 CALLE FLOR GERENA S",
"city": "HUMACAO",
"state": "PR",
"postal_code": "007914207",
"telephone_number": "787-285-0080",
"fax_number": "787-285-0461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO-SANTIAGO",
"first_name": "MARIA",
"middle_name": "L",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-13",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PR",
"license": "879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Humacao, PR
- Clinica de Servicios Medicos Y Complementarios
- Clinica de Terapia Fisica Humacao, Inc.
- Clinica de Terapia Tic Talk Toe LLC
- Clinica Medica Pediatrica, LLC
- Clinica Todo Salud - Aibonito, LLC
- Ramon Colon Figueroa, DMD
- Edna S. Colon Ortiz, M.D.
- Zorybel Colon Torres
- Magaly Colon-Ocasio, R.PH.
- Maria Margarita Colon-Scarano, PSY. D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.