Maria Collazo-Suarez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22999 Issued in PR

Practice address

1251 Ave Munoz Rivera
Ponce, PR 00717-0633

Phone

(787) 848-0030

NPI assigned

Oct 10, 2022

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 Medicine

State licenses

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.

• Am Delanoy Medical Services, Inc.

  • Primary Care Clinic/Center
  • Ponce, PR
  • NPI 1164743639
  NPD (past)

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

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1790400091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006240208",
            "telephone_number": "787-848-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 AVE MUNOZ RIVERA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007170633",
            "telephone_number": "787-848-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO-SUAREZ",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-10",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose Luis Collazo Hernandez, LCSW
• Jose Antonio Collazo Llera, MD STUDENT
• Collazo Medical Service Corp
• Hector Omar Collazo Santiago, M.D.
• Bryan Jael Collazo-Rodriguez, PHD
• Carmen I Collazo
• Margarita R Collazo, MD
• Pedro Rafael Collazo, M.D.
• Sergio Collazo
• Violeta Collazo

• General Practice Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.