Ada A Collazo, BACH

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1324 Calle Canada
Ave de Diego Puerto Nuevo
San Juan, PR 00920-3860

Phone

(787) 783-0750

Fax

(787) 781-8129

NPI assigned

Jun 14, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952505687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2138",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009842138",
            "telephone_number": "787-757-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 CALLE CANADA",
            "address_2": "AVE DE DIEGO PUERTO NUEVO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009203860",
            "telephone_number": "787-783-0750",
            "fax_number": "787-781-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "ADA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "BACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariangelys Collazo Rivera
• Ramon Luis Collazo-Bigles Sr., MD
• Diego Enrique Collazo-Irizarry, B.SC.
• Lilymar Collazo-Mojica, PH.D.
• Carmen I Collazo-Vazquez
• Brunilda Collazo, MD
• Diadette Collazo
• Ernesto Luis Collazo, M.D.
• Evelyn Collazo I, RN
• Griselle Collazo, O.T.

• Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Psychologist 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.