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Individual

DR. LUIS COLLAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
L4 CALLE BOLIVIA, OASIS GARDENS, GUAYNABO, PR 00969-3413
(787) 525-2110
Mailing address
L4 CALLE BOLIVIA, OASIS GARDENS, GUAYNABO, PR 00969-3413
(787) 525-2110

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2953
PR

Other

Enumeration date
07/19/2008
Last updated
02/22/2009
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