Individual
DR. LUNIA ESTELA COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 BRANCH AVE STE 6, PROVIDENCE, RI 02904-1728
(401) 753-0336
(401) 519-6985
Mailing address
PO BOX 746088, ATLANTA, GA 30374-6088
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18725
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CLP04767
RI DEPARTMENT OF HEALTH
RI
01
—
LP04767
RI DEPARTMENT OF HEALTH
RI
Enumeration date
06/27/2019
Last updated
12/11/2024
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