Michelle Collazo Castro

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

15836 Issued in PR

Practice address

CC Profesional Building Urb. Flamboyan
Marginal B-9
Manati, PR 00674

Phone

(787) 949-4552

NPI assigned

Aug 28, 2007

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

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

Dermatology

Education

University of Puerto Rico School of Medicine, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Collazo Castro Dermatology Clinics PSC

  • Dermatology Physician
  • Manati, PR
  • NPI 1366613796
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188259200000",
    "number": "1669666137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CC PROFESIONAL BUILDING URB. FLAMBOYAN",
            "address_2": "MARGINAL B-9",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CC PROFESIONAL BUILDING URB. FLAMBOYAN",
            "address_2": "MARGINAL B-9",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-949-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO CASTRO",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PR",
            "license": "15836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clinical Laboratory Services of Manati, Inc
• Clinical Laboratory Services of Manati, Inc
• Cohesion Health Services
• Xavier Alexis Collado-Mendez, MD
• Collazo Castro Dermatology Clinics PSC
• Naomi Collazo Gutierrez, MD
• Ronald Collazo Pagan, M.D.
• Carlos Arturo Colon - Guzman, MD
• Shirley Ann Colon Martinez, MSW
• Jose M. Colon-Vaquer, M.D.

• Dermatology Physician in Manati, PR
• Providers in Manati, PR by specialty
• Dermatology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.