A.COLLAZO MD, CSP (NPI# 1922402437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922402437 |
| Entity Type | Organization |
| Organization Name | A.COLLAZO MD, CSP |
| Practice Address |
Ave. Ponce By Pass 2225 Suite 409 Ponce PR 00717-1322 |
| Mailing Address |
Ave. 2225 Ponce By Pass Suite 409 Ponce PR 00717-1322 |
| Practice Telephone | 7878446165 |
| Practice Fax Number | 7878446130 |
| Mailing Telephone | 7878446165 |
| Mailing Fax Number | 7878446130 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Authorized Official Name | DR. ARMANDO J COLLAZO (DOCTOR) |
| Authorized Official Telephone | 7878446165 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 302F00000X | Exclusive Provider Organization | 6554 | PR | Managed Care Organizations |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
6554 | PR | Ambulatory Health Care Facilities |
| Street Address |
AVE. PONCE BY PASS 2225 SUITE 409 |
| City | PONCE |
| State | PR |
| Zip Code | 00717-1322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881202513 | Anthony Ramirez Sanchez | Counselor | Edf Porrata Pila Suite 208, 2431 Blvd Luis A Ferre, Ponce, PR 00717 | 2020-07-20 |
| 1255967444 | Marilia Padua Quiles | Psychologist | 1805 Paseo La Colonia Ste 2, Urb. Constancia Codech Office Park, Ponce, PR 00717 | 2020-03-19 |
| 1598399446 | Zadia Y Rodriguez | Dietitian, Registered | Urb. Constancia 2706, Ave. Las Americas, Ponce, PR 00717 | 2020-03-01 |
| 1154953412 | Centro Creando Camino De Vida LLC. | Occupational Therapy Assistant | Edificio Ponciana 9140 Calle Marina Oficina 507, Ponce, PR 00717 | 2020-02-05 |
| 1295375905 | For Eyes Optical of Puerto Rico, LLC | Eyewear Supplier (Equipment, not the service) | 2050 Ponce By Pass Ste 111, Ponce, PR 00717 | 2020-01-10 |
| 1316582216 | Krystina D Garay | Case Management | 8169 Cond San Vicente Calle Concordia, Suite 412, Ponce, PR 00717 | 2019-11-14 |
| 1982255097 | Javier Alejandro Carmona-morales | Pharmacist | Carr. #2 Ponce By Pass, San Jorge Mall, Ponce, PR 00717 | 2019-09-20 |
| 1043867492 | Hope Center LLC | Clinic/Center | Edificio Porrata Pila, 2431 Blvd Luis A Ferre Suite 208, Ponce, PR 00717 | 2019-08-21 |
| 1174185201 | Suhail Milagros Padilla | Physician Assistant | 7451 Calle Perpetuo Socorro, Urb Santa Maria, Ponce, PR 00717 | 2019-06-28 |
| 1255991493 | Jorge E Sanchez Rivera | Social Worker | 2680 Calle Las Carrozas, Urb Perla Del Sur, Ponce, PR 00717 | 2019-06-19 |
| Find all providers in zip 00717 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154796977 | Dr. Carlos J. Carro Pagan Csp | Clinic/Center | 2225 Avenida Ponce By Pass, Edificio Parra Suite 905, Ponce, PR 00717 | 2015-12-04 |
| 1962832766 | Dr. Claudio Bernaschina Psc | Clinic/Center | 2225 Ponce By Pass Suite 902, Parra Medical Plaza, Ponce, PR 00717 | 2013-11-15 |
| 1811438385 | Med Centro, Inc. | Clinic/Center | 1034 Ave Hostos, Ponce, PR 00716-1115 | 2017-03-16 |
| 1649625013 | Southern Internal Medicine Institute | Clinic/Center | 609 Ave Tito Castro, Ste 102 Pmb 153, Ponce, PR 00716-0200 | 2016-05-04 |
| 1992932867 | Invasive Gastro-intestinal Medical Service Psc | Clinic/Center | 909 Ave Tito Castro Ste 612, Ponce, PR 00716-4722 | 2009-06-17 |
| 1619131406 | Internal Medicine Perioperative Consultants Psc | Clinic/Center | 909 Tito Castro Ave, Torre Medica San Lucas Suite 717, Ponce, PR 00716 | 2008-07-11 |
| 1295869436 | Roberto Velazquez Torres | Clinic/Center | 2431 Ave Las Americas, Ponce, PR 00717-2113 | 2007-03-16 |
| 1518097336 | Centro De Quimioterapia Ambulatoria Dr Roberto Velazquez | Clinic/Center | 2431 Ave Las Americas, Edif Porrata Pila Suite 105, Ponce, PR 00717-2113 | 2007-03-07 |
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| 1386199032 | Ncderm LLC | Clinic/Center | 500 Degetau Avenue, Hima Plaza I, Suite 513, Caguas, PR 00725 | 2016-08-23 |
| 1194278689 | B Derm Psc | Clinic/Center | C4 Calle Bromelia, Parque De Bucare, Guaynabo, PR 00969 | 2016-08-01 |
| 1518318344 | 'hormones' Endocrinology Health & Wellness Clinic LLC | Clinic/Center | 67 Ave Baldorioty W, Cayey, PR 00736-3834 | 2016-06-22 |
| 1417302464 | Agd Endocrinology LLC | Clinic/Center | Bs4 Avenida Las Americas, Urbanizacion Bairoa, Caguas, PR 00725 | 2016-04-27 |
| 1912367772 | Servicios Medicos Pediatricos | Clinic/Center | 17 Main and Calle Cibeles, El Retiro Housing, San German, PR 00683-4459 | 2016-03-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.