Individual
MISS LUZ JOHANNA RIVERA COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 TEXAS AVE, EL PASO, TX 79901-1753
(915) 915-5030
Mailing address
HC BOX 3 12008, CAMUY, PR 00627
(787) 206-9811
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
87337
PR
367500000X
Certified Registered Nurse Anesthetist
Primary
1221814
TX
Other
Enumeration date
09/18/2024
Last updated
03/16/2026
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