DR. MAYRA M. COLLAZO M.D., CTR
NPI 1477707040
General Practice in San Juan, PR

Q: What is Mayra Collazo's NPI number?

The NPI number for Mayra Collazo is 1477707040. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Q: What is Mayra Collazo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Q: When was this NPI record last updated?

The NPPES record for Mayra Collazo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 10, 2008PECOS Enrolled

52 CALLE 2, PASEO ALTO, SAN JUAN, PR 00926(787) 653-3434(787) 653-1314 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Mayra M. Collazo M.d., Ctr NPPES

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

DR. MAYRA M. COLLAZO M.D., CTR (NPI 1477707040) is an individual general practice provider in San Juan, Puerto Rico, licensed in Puerto Rico (17368) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477707040

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. MAYRA M. COLLAZOCredential: M.D., CTR

Location Address52 CALLE 2, PASEO ALTOSan Juan, PR 00926-5918

Mailing AddressPo Box 6689Caguas, PR 00726-6689 · (787) 362-4440 · Fax (787) 653-1314

Phone(787) 653-3434

Fax(787) 653-1314

Sole ProprietorYes

Enumeration DateNovember 10, 2008

Last NPPES UpdateMarch 7, 2023

✔ NPI 1477707040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in PR · 17368

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Other Identifiers 1

OtherDM-17324-5PR · Assmca

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mayra M. Collazo M.d., Ctr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mayra Collazo's NPI number?

The NPI number for Mayra Collazo is 1477707040. It was assigned to this individual provider in the NPPES registry on November 10, 2008.

Where is Mayra Collazo located?

Mayra Collazo practices at 52 Calle 2 Paseo Alto, San Juan, PR 00926. The listed phone number is (787) 653-3434.

What is Mayra Collazo's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mayra Collazo enrolled in Medicare?

Yes. Mayra Collazo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mayra Collazo was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.