Individual
SAMUEL COLLAZO CARRASQUILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
CALLE CORCHADO FINAL 1619, CANOVANAS, PR 00729
(787) 876-5000
(787) 876-2422
Mailing address
PO BOX 8811, CAROLINA, PR 00988-8811
(787) 383-3211
(787) 876-2422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9251
PR
Other
Enumeration date
10/21/2005
Last updated
06/21/2010
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