# GRUPO MEDICO MEDICINA ESPECIALIZADA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700110178
- **Authorized official:** MR. GABRIEL COLLAZO B.S., P.E. (OWNER)
- **Authorized official phone:** (787) 466-6828

## Contact information

- **Practice address:** CALLE BARCELO \#12, ESQ. CARR. \#173, CIDRA, PR 00739-0000
- **Practice address phone:** (787) 739-2054
- **Practice address fax:** (787) 739-5525
- **Mailing address:** CALLE BARCELO \#12, ESQ. CARR. \#173, CIDRA, PR 00739-0000
- **Mailing address phone:** (787) 739-2054
- **Mailing address fax:** (787) 739-5525

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 122 | PR | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 03/09/2011