Individual
BRIAN COLLAZO TJONAFOEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
PRADERA SHOPPING CENTER CARR 931 KM 5.4, GURABO, PR 00778-0077
(787) 743-1985
Mailing address
PO BOX 9397, HUMACAO, PR 00792-9397
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
24183
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/20/2020
Last updated
02/19/2025
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