Irma Leticia Collazo, X-RAY TECH

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

001184 Issued in PR

Practice address

99 Guillermo Riefkhol Street
Patillas, PR 00723-0697

Phone

(787) 839-4320

Fax

(787) 271-0004

NPI assigned

May 9, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Centro Servicios Primarios de Salud de Patillas Inc.

  • Land Ambulance
  • Patillas, PR
  • NPI 1164532792
  NPD (past)
• Centro Servicios Primarios de Salud de Patillas Inc.

  • Radiology Clinic/Center
  • Patillas, PR
  • NPI 1366654337
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902010226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GUILLERMO RIEFKHOL STREET",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230697",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GUILLERMO RIEFKHOL STREET",
            "city": "PATILLAS",
            "state": "PR",
            "postal_code": "007230697",
            "telephone_number": "787-839-4320",
            "fax_number": "787-271-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "IRMA",
        "middle_name": "LETICIA",
        "name_prefix": "Mrs.",
        "credential": "X-RAY TECH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "PR",
            "license": "001184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIOLOGY TECH LICENSE",
            "identifier": "001184",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Changri-la Resort, Inc. (Dba Caribbean Paradise Convalescent)
• Yahaira Cintron-Perez
• Keila Cintron, SOCIAL WORKER
• Yamaira Claudio
• Alexa Nicole Cochran Rivera, RN
• Ketsy Ann Collazo
• Kiarahimar Colon-de Jesus
• Erialberto Colon-Soto
• Kirssis J Colon, PHARMACIST
• Marvalyn Cordero-Lanzar

• Radiologic Technologist in Patillas, PR
• Providers in Patillas, PR by specialty
• Radiologic Technologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.