Individual
DR. MARIA A COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
CALLE JOSE DE DIEGO, CIALES PUEBLO, NUM 25, CIALES, PR 00638
(787) 871-1146
(787) 871-0625
Mailing address
E26 CALLE A SUR, URB. FLAMBOYAN, MANATI, PR 00674
(787) 871-1146
(787) 871-0625
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
9227
PR
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
40D07100418
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9227
MEDICAL LICENCE
PR
Enumeration date
07/07/2006
Last updated
06/08/2011
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