Individual
JESUS ARTURO COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
690 CALLE CESAR GONZALEZ, APT. 902, SAN JUAN, PR 00918-3901
(787) 484-5394
(787) 282-8996
Mailing address
690 CALLE CESAR GONZALEZ, APT. 902, SAN JUAN, PR 00918-3901
(787) 484-5394
(787) 282-8996
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
Primary
4596
PR
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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