Individual
CANDIDO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
71 CALLE AUTONOMIA, CANOVANAS, PR 00729-3385
(787) 876-2705
Mailing address
71 CALLE AUTONOMIA, CANOVANAS, PR 00729-3385
(787) 876-2705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
002331
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002331
STATE LICENSE
PR
Enumeration date
10/03/2022
Last updated
10/03/2022
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