Individual provider Active NPI

Boyd Hernandez Collazo, MD

  • Emergency Medicine Physician
  • Bayamon, PR
National Provider Identifier
1841513553
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
9025 Issued in PR
Practice address
Gonzalo Rivera Ortega Ave. # 1
Cond. Las Torres Sur Suite 4 F
Bayamon, PR 00960
Phone
(787) 240-1030
NPI assigned
Mar 9, 2010
Last updated
Mar 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 9025 PR Primary

Addresses

Primary practice location

Gonzalo Rivera Ortega Ave. # 1
Cond. Las Torres Sur Suite 4 F
Bayamon, PR 00960

Mailing address

Gonzalo Rivera Ortega Ave.# 1
Condominium Las Torres Sur, Suite 4 F
Bayamon, PR 00960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9025PRMDEmergency Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1841513553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GONZALO RIVERA ORTEGA AVE.# 1",
            "address_2": "CONDOMINIUM LAS TORRES SUR, SUITE 4 F",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GONZALO RIVERA ORTEGA AVE. # 1",
            "address_2": "COND. LAS TORRES SUR SUITE 4 F",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-240-1030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ COLLAZO",
        "first_name": "BOYD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "9025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.