Individual provider Active NPI

Jose A Rios Collazo, MD

  • Gastroenterology Physician
  • Humacao, PR
National Provider Identifier
1700954666
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
7353 Issued in PR
Practice address
Ave Padre Rivera #101
Humacao, PR 00792
Phone
(787) 285-4387
Fax
(787) 285-1634
NPI assigned
Nov 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 7353 PR Primary

Addresses

Primary practice location

Ave Padre Rivera #101
Humacao, PR 00792

Mailing address

Box 9111
Humacao, PR 00792
Phone (787) 285-4387

Other identifiers 1

IdentifierTypeStateIssuer
29450RIOtherSSS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100924000682 PR Practitioner - GastroenterologyPractitioner - Internal Medicine 1951427129 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Puerto Rico School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Gastroenterologico del Este PSCGroup PAC ID 1355467523, 2 clinicians

Practice addresses (Care Compare)

101 Calle Padre Rivera
Humacao, PR 00791-3451
Phone (787) 285-4387

Ave Padre Rivera
Suite 101
Humacao, PR 00791-3451

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
5658PRMDClinical Psychologist
7353PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Gastroenterologico del Este P S C Gastroenterology CurrentSince Nov 22, 2006 Accepting new patients
Grupo Gastroenteroloyico del Este Gastroenterology Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700954666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BOX 9111",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-285-4387",
            "fax_number": "787-285-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE PADRE RIVERA #101",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00792",
            "telephone_number": "787-285-4387",
            "fax_number": "787-285-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS COLLAZO",
        "first_name": "JOSE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "PR",
            "license": "7353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "29450RI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humacao, PR

Sources for this page

Verify at the official NPI Registry.