Angel L. Collazo Bonilla, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

5387 Issued in PR

Practice address

Bayamon Medical Plaza BLD #2 Ave.
Suite 603
Bayamon, PR 00959

Phone

(787) 740-8700

Fax

(787) 740-8788

NPI assigned

Aug 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1427068071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA",
            "address_2": "SUITE 603",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-740-8700",
            "fax_number": "787-740-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL PLAZA BLD #2 AVE.",
            "address_2": "SUITE 603",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-740-8700",
            "fax_number": "787-740-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO BONILLA",
        "first_name": "ANGEL",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "5387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S PROVIDER #",
            "identifier": "24984",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cmda de Puertorico, Inc.
• Cmda Medical Services PSC
• CNV Medical Group
• Diana M. Colacioppo-Saavedra, MS
• Pedro Nelson Colberg, MD
• Roseanne Collazo Nieves
• Adriana Collazo Ortiz, MD
• Stephany Collazo Otero
• Jesus Johan Collazo
• Jose Vicente Collazo

• Obstetrics & Gynecology Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Obstetrics & Gynecology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.