Individual
BRYAN JAEL COLLAZO-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
Mailing address
1 COND COAMO HOUSING EDIF 8 APT 68, COAMO, PR 00769-3701
(787) 678-2765
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PR
Other
Enumeration date
09/24/2024
Last updated
09/09/2025
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