Individual
GRETCHEN COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
DEPARTAMENTO MEDICINA DE FAMILIA Y GERIATRIA, CALL BOX 6021, CAROLINA, PR 00984-0215
(787) 776-4420
(787) 776-4421
Mailing address
3 SECTOR CARRASQUILLO, SECTOR MARCELINO CARRASQUILLO, LAS PIEDRAS, PR 00771
(787) 421-3783
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12,296I
PR
207Q00000X
Family Medicine Physician
28,187R
PR
207Q00000X
Family Medicine Physician
28,413R
PR
207Q00000X
Family Medicine Physician
28,794R
PR
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20585
PR
284300000X
Special Hospital
12,102I
PR
Other
Enumeration date
10/21/2008
Last updated
05/09/2013
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