Lilymar Collazo-Mojica, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5777 Issued in PR

Practice address

759 Ave Avelino Vicente
San Juan, PR 00909-2538

Phone

(787) 303-9662

NPI assigned

Aug 30, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1629596689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 72 BOX 3954",
            "city": "NARANJITO",
            "state": "PR",
            "postal_code": "007198771",
            "telephone_number": "787-410-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 AVE AVELINO VICENTE",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009092538",
            "telephone_number": "787-303-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO-MOJICA",
        "first_name": "LILYMAR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "5777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Collazo Lopez
• Gerardo Israel Collazo Malave Sr., MD
• Mariangelys Collazo Rivera
• Ramon Luis Collazo-Bigles Sr., MD
• Diego Enrique Collazo-Irizarry, B.SC.
• Carmen I Collazo-Vazquez
• Ada A Collazo, BACH
• Brunilda Collazo, MD
• Diadette Collazo
• Ernesto Luis Collazo, M.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.