William Collazo-Nunez, M.D.

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

008209 Issued in PR

Practice address

USA Meddac, Rwbahc
2240 E. Winrow Ave., Attn: MCXJ-Credentials
Fort Huachuca, AZ 85613-7079

Phone

(520) 599-1696

Fax

(520) 533-7099

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1881776201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1933 EXETER DR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354817",
            "telephone_number": "520-458-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "USA MEDDAC, RWBAHC",
            "address_2": "2240 E. WINROW AVE., ATTN: MCXJ-CREDENTIALS",
            "city": "FORT HUACHUCA",
            "state": "AZ",
            "postal_code": "856137079",
            "telephone_number": "520-599-1696",
            "fax_number": "520-533-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO-NUNEZ",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "08209",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "PR",
            "license": "008209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaesoon Katie Cha, LPN
• Kay Chaparro
• Rachelle Chapman, NURSE
• Mary Ann Clark
• John P Cofer, DDS
• Martha Frances Cook, LCSW
• Deborah A. Crowe, DNP, FNP-BC, PMHNP-B
• Tracey Cruz, RN
• Kirsten Curtis
• Shannon Cregeur Darket, NP

• Military Health Care Provider in Fort Huachuca, AZ
• Providers in Fort Huachuca, AZ by specialty
• Military Health Care Provider in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.