Ernesto L Collazo Batista MD PSC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ERNESTO L COLLAZO BATISTA MD PSC

Practice address

1503 Calle Prof Augusto Rodrigue
Segundo Piso
Santurce, PR 00909-2275

Phone

(787) 728-3700

Fax

(787) 728-4390

NPI assigned

Feb 15, 2007

Last updated

Sep 8, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ernesto Luis Collazo, M.D.NPI 1134112667

Title

President

Phone

(787) 728-3700

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ernesto Luis Collazo, M.D.

  • Ophthalmology Physician
  • San Juan, PR
  • NPI 1134112667
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1376686782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 366407",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009366407",
            "telephone_number": "787-728-3700",
            "fax_number": "787-728-4390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1503 CALLE PROF AUGUSTO RODRIGUE",
            "address_2": "SEGUNDO PISO",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "009092275",
            "telephone_number": "787-728-3700",
            "fax_number": "787-728-4390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERNESTO L COLLAZO BATISTA MD PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-728-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Santurce, PR
• Providers in Santurce, PR by specialty
• Ophthalmology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; 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.

Verify at the official NPI Registry.