Active NPI
Luisa M Collazo, M.D.
- Psychologist
- San Juan, PR
National Provider Identifier
1972712669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1988
- Practice address
- 759 Ave Avelino Vicente
San Juan, PR 00909-2615 - Phone
- (787) 644-9629
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1988 | PR | Primary |
Addresses
Primary practice location
759 Ave Avelino Vicente
San Juan, PR 00909-2615
Mailing address
602 Ave Fernandez Juncos
Apt 803
San Juan, PR 00907-3149
Phone (787) 447-2831
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1988 | PR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empresas Alvaro Torres | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Speech-Language Pathologist
- San Juan, PR
- NPI 1437349370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972712669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "602 AVE FERNANDEZ JUNCOS",
"address_2": "APT 803",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009073149",
"telephone_number": "787-447-2831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "759 AVE AVELINO VICENTE",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009092615",
"telephone_number": "787-644-9629"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLAZO",
"first_name": "LUISA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- 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.