Individual
ERNESTO LUIS COLLAZO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1503 PROF. AUGUSTO RODRIGUEZ, SEGUNDO PISO, SAN JUAN, PR 00909
(787) 728-3700
(787) 728-4390
Mailing address
PO BOX 366407, SAN JUAN, PR 00936-6407
(787) 728-3700
(787) 728-4390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11507
PR
Other
Enumeration date
08/30/2005
Last updated
04/20/2018
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