Individual
BENNETT J LABOY COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
A6 CALLE 2 MANSIONES DE MONTESOL, CAYEY, PR 00736
(787) 238-5152
Mailing address
PO BOX 372571, CAYEY, PR 00737-2571
(787) 238-5152
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3416
PR
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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