Individual
HENRY COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
528 CALLE VEGA ALEGRE, CABO ROJO, PR 00623
(787) 363-3876
Mailing address
528 CALLE VEGA ALEGRE, CABO ROJO, PR 00623-3778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004550
PR
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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