Organization
GRUPO MEDICO MEDICINA ESPECIALIZADA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GABRIEL COLLAZO B.S., P.E. (OWNER)
(787) 466-6828
Entity
Organization
Contact information
Practice address
CALLE BARCELO #12, ESQ. CARR. #173, CIDRA, PR 00739-0000
(787) 739-2054
(787) 739-5525
Mailing address
CALLE BARCELO #12, ESQ. CARR. #173, CIDRA, PR 00739-0000
(787) 739-2054
(787) 739-5525
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
122
PR
Other
Enumeration date
10/01/2009
Last updated
03/09/2011
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