Hector Omar Collazo Santiago, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

21447 Issued in PR

Practice address

2225 Ponce Byp Ste 407
Damas Hospital
Ponce, PR 00717-1318

Phone

(787) 840-8686

NPI assigned

Jun 10, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Pulmonary DiseaseAlso: Internal Medicine

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

New Vision Medical Diagnostics LLCGroup PAC ID 5496990582, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: hector.collazosantiago.p1@direct.vitacare.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Vision Medical Diagnostics LLC

  • Multi-Specialty Clinic/Center
  • Bayamon, PR
  • NPI 1659503795
  Medicare reassignment Care Compare group NPD
• New Vision Medical Diagnostic LLC

  • Primary Care Clinic/Center
  • Bayamon, PR
  • NPI 1891043337
  NPD
• Varmed Health Center LLC

  • Emergency Care Clinic/Center
  • Bayamon, PR
  • NPI 1356017586
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1912356809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CALLE CARPINTERO",
            "address_2": "CAMINO DEL SUR",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-607-4516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP STE 407",
            "address_2": "DAMAS HOSPITAL",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171318",
            "telephone_number": "787-840-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO SANTIAGO",
        "first_name": "HECTOR",
        "middle_name": "OMAR",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-10",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "21447",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "21447",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "21447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Ismael Collado Lugo
• Daniel Collado, M.D.
• Jose Luis Collazo Hernandez, LCSW
• Jose Antonio Collazo Llera, MD STUDENT
• Collazo Medical Service Corp
• Bryan Jael Collazo-Rodriguez, PHD
• Maria Collazo-Suarez, MD
• Carmen I Collazo
• Margarita R Collazo, MD
• Pedro Rafael Collazo, M.D.

• Pulmonary Disease Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Pulmonary Disease Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.