Active NPI
Violeta Collazo
- Optician
- Ponce, PR
National Provider Identifier
1417065343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 066
- Practice address
- 2431 Ave Las Americas Edif Porrata Pila Suite 200
Ponce, PR 00731 - Phone
- (787) 841-6808
- Fax
- (787) 841-6808
- NPI assigned
- Aug 29, 2006
- Last updated
- May 14, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | 066 | PR | Primary |
Addresses
Primary practice location
2431 Ave Las Americas Edif Porrata Pila Suite 200
Ponce, PR 00731
Mailing address
PO Box 10369
Ponce, PR 00732-0369
Phone (787) 841-6808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066 | PR | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Violeta Collazo Irizarry | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1417065343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10369",
"city": "PONCE",
"state": "PR",
"postal_code": "007320369",
"telephone_number": "787-841-6808",
"fax_number": "787-841-6808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2431 AVE LAS AMERICAS EDIF PORRATA PILA SUITE 200",
"city": "PONCE",
"state": "PR",
"postal_code": "00731",
"telephone_number": "787-841-6808",
"fax_number": "787-841-6808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "VIOLETA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "PR",
"license": "066",
"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 May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.