Active NPI
Sergio Collazo
- Paramedic
- Ponce, PR
National Provider Identifier
1376827600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- Practice address
- 1575 Ave Munoz Rivera
Ponce, PR 00717-0211 - Phone
- (787) 635-3348
- NPI assigned
- Oct 5, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | PR | Primary |
Addresses
Primary practice location
1575 Ave Munoz Rivera
Ponce, PR 00717-0211
Mailing address
1575 Ave Munoz Rivera
PMB 216
Ponce, PR 00717-0211
Phone (787) 635-3348
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1376827600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1575 AVE MUNOZ RIVERA",
"address_2": "PMB 216",
"city": "PONCE",
"state": "PR",
"postal_code": "007170211",
"telephone_number": "787-635-3348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1575 AVE MUNOZ RIVERA",
"city": "PONCE",
"state": "PR",
"postal_code": "007170211",
"telephone_number": "787-635-3348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "SERGIO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-05",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "PR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponce, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.