# A.COLLAZO MD, CSP

> 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:** 1922402437
- **Authorized official:** DR. ARMANDO J COLLAZO MD (DOCTOR)
- **Authorized official phone:** (787) 844-6165

## Contact information

- **Practice address:** AVE. PONCE BY PASS 2225, SUITE 409, PONCE, PR 00717-1322
- **Practice address phone:** (787) 844-6165
- **Practice address fax:** (787) 844-6130
- **Mailing address:** AVE. 2225 PONCE BY PASS, SUITE 409, PONCE, PR 00717-1322
- **Mailing address phone:** (787) 844-6165
- **Mailing address fax:** (787) 844-6130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 6554 | PR | Yes |
| 302F00000X | Exclusive Provider Organization | 6554 | PR | — |

## Other

- **Enumeration date:** 10/13/2014
- **Last updated:** 10/13/2014