Individual
MR. ARCANGEL COLLAZO CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
SEC EL COTO KM 2.0 CARR 347, SAN GERMAN, PR 00683
(787) 538-4114
Mailing address
PO BOX 7999, MAYAGUEZ, PR 00681-7999
(787) 538-4114
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27305
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27305
LIC
PR
Enumeration date
09/03/2008
Last updated
09/03/2008
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