A.Collazo MD, CSP

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

6554 Issued in PR

Legal business name

A.COLLAZO MD, CSP

Practice address

Ave. Ponce by Pass 2225
Suite 409
Ponce, PR 00717-1322

Phone

(787) 844-6165

Fax

(787) 844-6130

NPI assigned

Oct 13, 2014

Last updated

Oct 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Armando J Collazo, MD

Title

Doctor

Phone

(787) 844-6165

Specialties & licenses 2

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ixaira C Colon Morales, MD

  • Obstetrics & Gynecology Physician
  • Ponce, PR
  • NPI 1356778468
  NPD (past)
• Lissette Gutierrez, MD

  • Obstetrics & Gynecology Physician
  • Carolina, PR
  • NPI 1962482885
  NPD (past)

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1922402437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE. 2225 PONCE BY PASS",
            "address_2": "SUITE 409",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171322",
            "telephone_number": "787-844-6165",
            "fax_number": "787-844-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE. PONCE BY PASS 2225",
            "address_2": "SUITE 409",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171322",
            "telephone_number": "787-844-6165",
            "fax_number": "787-844-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.COLLAZO MD, CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "COLLAZO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "787-844-6165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "PR",
            "license": "6554",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "6554",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 60 Plus Services
• A Plus Primary Care LLC
• A&R Behavioral Associates PSC
• Abc Unlimited Pharmacy Services, Corp
• Bianca Anais Abreu-Carlo
• Alberto Abreu, M.D.
• Abro Inc.

• Medical Specialty Clinic/Center in Ponce, PR
• Providers in Ponce, PR by specialty
• Medical Specialty Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.