Individual
MAYRA ALEJANDRA COLLAZO-BARTOLOMEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 CALLE COMERCIO, JUANA DIAZ, PR 00795-2528
(787) 396-8852
Mailing address
145 CALLE COMERCIO, JUANA DIAZ, PR 00795-2528
(787) 396-8852
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
078484
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
78484
REGISTERED NURSE LICENSE
PR
Enumeration date
09/20/2018
Last updated
09/20/2018
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