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Individual

JUAN ANTONIO KUILAN-COLLAZO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
2053 PEDRO ALBIZU AV., SUITE 2 PMB 323, AGUADILLA, PR 00603-5950
(787) 310-5985
Mailing address
2053 PEDRO ALBIZU AV., SUITE 2 PMB 3223, AGUADILLA, PR 00603-5950
(787) 310-5985

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13960
PR
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
13960
PR

Other

Enumeration date
04/23/2007
Last updated
12/01/2011
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