Active NPIIndividual providerSole proprietor

Samuel Collazo Carrasquillo, MD

Internal Medicine in Canovanas, Puerto Rico

NPI Number1053300053
Practice location
Calle Corchado Final 1619, Canovanas, PR 00729
Fax
787-876-2422
Last updated
June 21, 2010

Samuel Collazo Carrasquillo is an Internal Medicine based in Canovanas, PR. Samuel Collazo Carrasquillo practices in Canovanas, PR and has the professional credentials of MD. The NPI Number for Samuel Collazo Carrasquillo is 1053300053 and holds a License No. 9251 (PR). The current practice location address for Samuel Collazo Carrasquillo is Calle Corchado Final 1619, Canovanas, PR 00729 and can be reached out via phone at 787-876-5000 and via fax at 787-876-2422.

Provider Profile Details

NPI Number
1053300053
Provider Name
Samuel Collazo Carrasquillo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Calle Corchado Final 1619, Canovanas, PR 00729
Phone Number
787-876-5000
Fax Number
787-876-2422
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
October 21, 2005
Last Update Date
June 21, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Corchado Final 1619
Canovanas, PR 00729
Zip
00729
Phone Number
787-876-5000
Fax Number
787-876-2422
Canovanas, PR 00729Get directions →

Provider Business Mailing Address Details

Address
Po Box 8811
Carolina, PR 00988-8811
City
Carolina
State
PR
Zip
00988-8811
Phone Number
787-383-3211
Fax Number
787-876-2422

License Information

License Number
9251
License State
PR
Taxonomy
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Samuel Collazo Carrasquillo, MD?

The NPI number of Samuel Collazo Carrasquillo, MD is 1053300053. It was assigned on October 21, 2005 and is currently active in the NPPES registry.

What is the specialty of Samuel Collazo Carrasquillo, MD?

Samuel Collazo Carrasquillo, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 9251.

Where does Samuel Collazo Carrasquillo, MD practice?

The practice location is Calle Corchado Final 1619, Canovanas, PR 00729. The office can be reached at 787-876-5000 (phone) or 787-876-2422 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053300053 directly on the NPPES registry website.

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