Individual
DR. MAYRA M. COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., CTR
Contact information
Practice address
52 CALLE 2, PASEO ALTO, SAN JUAN, PR 00926-5918
(787) 653-3434
(787) 653-1314
Mailing address
PO BOX 6689, CAGUAS, PR 00726-6689
(787) 362-4440
(787) 653-1314
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17368
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DM-17324-5
ASSMCA
PR
Enumeration date
11/10/2008
Last updated
03/07/2023
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