Juan Antonio Kuilan-Collazo, M.D

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

13960 Issued in PR

Practice address

2053 Pedro Albizu Av.
Suite 2 PMB 323
Aguadilla, PR 00603-5950

Phone

(787) 310-5985

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1821216151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 PEDRO ALBIZU AV.",
            "address_2": "SUITE 2 PMB 3223",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035950",
            "telephone_number": "787-310-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2053 PEDRO ALBIZU AV.",
            "address_2": "SUITE 2 PMB 323",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "006035950",
            "telephone_number": "787-310-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUILAN-COLLAZO",
        "first_name": "JUAN",
        "middle_name": "ANTONIO",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "13960",
            "primary": true
        },
        {
            "code": "207PH0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Hospice and Palliative Medicine",
            "state": "PR",
            "license": "13960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emergency Medicine Physician in Aguadilla, PR
• Providers in Aguadilla, PR by specialty
• Emergency Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.