Mayra Alejandra Collazo-Bartolomei
Individual provider Active NPI General Practice Registered Nurse · Juana Diaz, PR
NPI 1669956165 · NPPES record last updated Sep 20, 2018
Key facts
- NPI
- 1669956165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Registered Nurse 163WG0000X
- License
- 078484 (PR)
- Practice address
- 145 Calle Comercio
Juana Diaz, PR 00795-2528 - Phone
- (787) 396-8852
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 078484 | PR | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 078484 | PR | Yes |
Addresses
Primary practice location
145 Calle Comercio
Juana Diaz, PR 00795-2528
Mailing address
145 Calle Comercio
Juana Diaz, PR 00795-2528
Phone (787) 396-8852
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78484 | Other | PR | REGISTERED NURSE LICENSE |
Other providers in Juana Diaz, PR
- Clinica de Fisiterapia Y Rehabilitacion Logany
- Clinica Las Americas Guaynabo, Inc
- Clinica Quiropractica Ebenezer
- Clinica Terapeutica del Lenguaje
- Aurelio Miguel Collado Pacheco
- Carmen E Collazo
- James Collazo
- Brenda Luz Colon Arzola
- Jose Manuel Colon Gaztambide Sr.
- Cristina Isabel Colon Negron
All providers in Juana Diaz, PR · General Practice Registered Nurse in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.