Individual
DR. ANGEL L. COLLAZO BONILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
BAYAMON MEDICAL PLAZA BLD #2 AVE., SUITE 603, BAYAMON, PR 00959
(787) 740-8700
(787) 740-8788
Mailing address
BAYAMON MEDICAL PLAZA, SUITE 603, BAYAMON, PR 00959
(787) 740-8700
(787) 740-8788
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5387
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24984
TRIPLE S PROVIDER #
PR
Enumeration date
08/08/2006
Last updated
04/08/2019
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