Individual
MR. GERARDO ISRAEL COLLAZO MALAVE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RECINTO DE CIENCIAS MEDICAS UPR, DEPARTAMENTO DE PSIQUIATRIA, SAN JUAN, PR 00921
(787) 243-5979
Mailing address
B55 CALLE SANCHEZ, URB APONTE, CAYEY, PR 00736
(787) 243-5979
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
35019
PR
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
22394
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
10/08/2018
Last updated
12/06/2021
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