Marisol Collazo Ortiz Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

807 Issued in PR

Legal business name

MARISOL COLLAZO ORTIZ INC

Practice address

12 Calle Barcelo
Cidra, PR 00739-3446

Phone

(787) 739-5525

Fax

(787) 739-2054

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Marisol Collazo, MD MT

Title

Lab Director

Phone

(787) 739-5525

Specialties & licenses 1

Addresses

Other identifiers 11

Other names 1

• DBA Laboratorio Clinico Centro Medicina Especializada Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Floren E Perez, MD

  • Obstetrics & Gynecology Physician
  • Cayey, PR
  • NPI 1043209935
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356048000000",
    "number": "1669518445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CALLE BARCELO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393446",
            "telephone_number": "787-739-5525",
            "fax_number": "787-739-2054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CALLE BARCELO",
            "city": "CIDRA",
            "state": "PR",
            "postal_code": "007393446",
            "telephone_number": "787-739-5525",
            "fax_number": "787-739-2054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISOL COLLAZO ORTIZ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2012-12-21",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "787-739-5525",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD MT"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMPR",
            "identifier": "15843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED MEDICARE CHOICE",
            "identifier": "20213",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA HEALTH PLAN",
            "identifier": "6390009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA INSURANCE",
            "identifier": "6390009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LACRUZ AZUL DE PUERTO RIC",
            "identifier": "51539",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UIA",
            "identifier": "LB00746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN HEALTH",
            "identifier": "20463",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA REFORMA",
            "identifier": "6390009",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "30778",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNATIONAL MEDICAL CAR",
            "identifier": "0877",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH UTI",
            "identifier": "400123",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Laboratorio Clinico Centro Medicina Especializada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maria M. Lopez, PED.
• Anyelis M. Lozada Carrasco
• Irma I Luna-Figueroa
• Jennifer Soleil Maldonado Emanuelli, PTA
• Jonathan Maldonado, PSY.D
• Amneris Marquez, PSIC
• Jesmarie Marquez, RN
• Maria del Mar Marrero Rosario, PHARMD
• Julio Armando Marrero-Guadalupe, MD
• Martinez Medical Transport

• Clinical Medical Laboratory in Cidra, PR
• Providers in Cidra, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2012; 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.