Individual
RONALD COLLAZO PAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
B35 CALLE ELLIOT VELEZ, MANATI, PR 00674-4615
(787) 970-5277
Mailing address
PO BOX 954, GUAYNABO, PR 00970-0954
(787) 970-5277
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
20243
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HE311Z
PTAN
PR
Enumeration date
08/26/2009
Last updated
07/12/2020
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