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Individual

ALICE M ENCARNACION COLLAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
349 AVENIDA FELISA RINCON DE GAUTIER, SUITE 202, SAN JUAN, PR 00926-6675
(787) 999-0889
(787) 999-0891
Mailing address
702 CALLE ROOSEVELT, SUITE 202, SAN JUAN, PR 00907-3449
(787) 484-6943
(787) 724-0616

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
8446
PR

Other

Enumeration date
06/15/2006
Last updated
10/01/2012
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