MR. GERARDO ISRAEL COLLAZO MALAVE SR. MD - NPI 1417422353 - Psychiatry & Neurology in San Juan, PR

Q: What is Gerardo Collazo Malave's NPI number?

The NPI number for Gerardo Collazo Malave is 1417422353. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Q: What is Gerardo Collazo Malave's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

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About Mr. Gerardo Israel Collazo Malave Sr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GERARDO ISRAEL COLLAZO MALAVE SR. MD (NPI 1417422353) is an individual child & adolescent psychiatry provider in San Juan, Puerto Rico, licensed in Puerto Rico (22394) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cayey, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417422353

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameMR. GERARDO ISRAEL COLLAZO MALAVE SR.Credential: MD

Location AddressRECINTO DE CIENCIAS MEDICAS UPR, DEPARTAMENTO DE PSIQUIATRIASan Juan, PR 00921

Mailing AddressB55 Calle Sanchez, Urb AponteCayey, PR 00736 · (787) 243-5979

Phone(787) 243-5979

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 8, 2018

Last NPPES UpdateDecember 6, 20213 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1417422353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in PR · 22394

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 35019 (PR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

Secondary Practice Location 1

Location 1B55 Calle Sanchez, Urb AponteCayey, PR 00736-0073 · Phone (787) 243-5979

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Gerardo Israel Collazo Malave Sr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406364652

PECOS Enrollment IDI20250731001503

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gerardo Collazo Malave's NPI number?

The NPI number for Gerardo Collazo Malave is 1417422353. It was assigned to this individual provider in the NPPES registry on October 8, 2018.

Where is Gerardo Collazo Malave located?

Gerardo Collazo Malave practices at Recinto De Ciencias Medicas Upr Departamento De Psiquiatria, San Juan, PR 00921. The listed phone number is (787) 243-5979.

What is Gerardo Collazo Malave's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Gerardo Collazo Malave enrolled in Medicare?

Yes. Gerardo Collazo Malave is registered in the Medicare PECOS enrollment system.

What insurance does Gerardo Collazo Malave accept?

Health plans from Providence Health Plan list Gerardo Collazo Malave as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gerardo Collazo Malave was last updated on December 6, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.