Individual provider Active NPI

Aurora Melendez Collazo, MD

  • Internal Medicine Physician
  • Gurabo, PR
National Provider Identifier
1831182690
Registry record updated Dec 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4787 Issued in PR
Practice address
Eugenio Sanchez Lopez Urb. Los Maestros
A-16
Gurabo, PR 00778
Phone
(787) 737-3936
NPI assigned
Aug 26, 2005
Last updated
Dec 11, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4787 PR Primary

Addresses

Primary practice location

Eugenio Sanchez Lopez Urb. Los Maestros
A-16
Gurabo, PR 00778

Mailing address

PO Box 591
Gurabo, PR 00778-0591
Phone (787) 737-3936

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
I20101026000367 PR Practitioner - Internal Medicine 7911190632

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1831182690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 591",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007780591",
            "telephone_number": "787-737-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EUGENIO SANCHEZ LOPEZ  URB. LOS MAESTROS",
            "address_2": "A-16",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-3936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ COLLAZO",
        "first_name": "AURORA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-26",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.