# SERGIO COLLAZO SR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SER-LADYS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841566551
- **Authorized official:** SERGIO COLLAZO (OWNER)
- **Authorized official phone:** (787) 635-3348

## Contact information

- **Practice address:** 2525 AVE EDUARDO RUBERTE, COLISEO SHOPPING CENTER SUITE 205, PONCE, PR 00728-1739
- **Practice address phone:** (787) 635-3348
- **Mailing address:** 2525 AVE EDUARDO RUBERTE, COLISEO SHOPPING CENTER SUITE 205, PONCE, PR 00728-1739
- **Mailing address phone:** (787) 635-3348

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | TC AMB 683 | PR | Yes |

## Other

- **Enumeration date:** 03/27/2012
- **Last updated:** 05/05/2014