Nilsa Collazo, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2104 Issued in PR

Practice address

Carr 135 KM 64.2
Castaner, PR 00631

Phone

(787) 829-5010

Fax

(787) 544-3860

NPI assigned

Nov 29, 2018

Last updated

Apr 8, 2019By the provider in NPPES

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital General de Castaner Inc

  • General Acute Care Hospital
  • Castaner, PR
  • NPI 1760486344
  Medicare reassignment NPD
• Hospital General de Castaner Inc.

  • Federally Qualified Health Center (FQHC)
  • Jayuya, PR
  • NPI 1073040689
  NPD
• Psymed Clinic, PSC

  • General Practice Physician
  • Ponce, PR
  • NPI 1376314567

  Clinical

  NPD (past)

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1851861066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 CALLE JUAN H CINTRON",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007300515",
            "telephone_number": "787-439-9427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 135 KM 64.2",
            "city": "CASTANER",
            "state": "PR",
            "postal_code": "00631",
            "telephone_number": "787-829-5010",
            "fax_number": "787-544-3860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Calle Juan H Cintron",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007300515",
            "country_code": "US",
            "telephone_number": "787-439-9427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "NILSA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "2104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elisa Del Socorro Cruz-Arrigoitia, MD
• Jose Luis Garcia-Toledo, PHARMD
• Hospital General Castaner (Farmacia Hospital Castaner)
• Hospital General de Castaner Inc
• Hospital General de Castaner Inc

• Clinical Psychologist in Castaner, PR
• Providers in Castaner, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.