Organization
ERNESTO L COLLAZO BATISTA MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNESTO LUIS COLLAZO M.D. (PRESIDENT)
(787) 728-3700
Entity
Organization
Contact information
Practice address
1503 CALLE PROF AUGUSTO RODRIGUE, SEGUNDO PISO, SANTURCE, PR 00909-2275
(787) 728-3700
(787) 728-4390
Mailing address
PO BOX 366407, SAN JUAN, PR 00936-6407
(787) 728-3700
(787) 728-4390
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6133980002
PTAN
PR
Enumeration date
02/15/2007
Last updated
09/08/2010
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