Organization
ECO-CARDIOVASCULAR TESTING LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFAEL COLLAZO SR. (EXECUTIVE DIRECTOR)
(787) 798-3463
Entity
Organization
Contact information
Practice address
E12 CALLE 2, URBANIZACION SANTA CRUZ, BAYAMON, PR 00961-6923
(787) 798-3463
(787) 798-3463
Mailing address
PO BOX 9065054, SAN JUAN, PR 00906-5054
(787) 798-3463
(787) 798-3463
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6-1835
CRUZ AZUL
PR
01
—
8-4330
SSS
PR
Enumeration date
03/14/2007
Last updated
03/11/2009
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