Ernesto L Collazo Batista MD PSC
Organization Active NPI Ophthalmology Physician · Santurce, PR
NPI 1376686782 · NPPES record last updated Sep 8, 2010
Key facts
- NPI
- 1376686782
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 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
- Organization subpart
- No
Authorized official
- Name
- Dr. Ernesto Luis Collazo, M.D.
- Title
- President
- Phone
- (787) 728-3700
Practitioners 1
-
Ernesto Luis Collazo, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110624000214 | PR | Part B Supplier - Clinic/Group Practice | 2961609490 |
Receives reassigned benefits from 1 practitioner Practice locations: San Juan, PR |
National Provider Directory
Locations
1503 Calle Prof Augusto Rodriguez
Fl 2
San Juan, PR 00909
Phone (787) 728-3700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
207W00000X | Yes | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
1503 Calle Prof Augusto Rodrigue
Segundo Piso
Santurce, PR 00909-2275
Mailing address
PO Box 366407
San Juan, PR 00936-6407
Phone (787) 728-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6133980002 | Other | PR | PTAN |
Other providers in Santurce, PR
- Dra Hilda Rivera Quinones
- Maria Elena Echevarria-Escudero
- Eileen Pacheco
- El Botiquin de la 26 Inc
- Elite Peds Endocrine LLC
- Jeremy Aaron Erxleben
- Escuela de Medicina Dental
- Samuel Estronza-Ojeda
- Expresscare Inc
- Eye Surgery Specialists of Puerto Rico, LLC
All providers in Santurce, PR · Ophthalmology Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.