Individual
LUIS E. COLLAZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
453 CALLE CONSTANCIA, SAN JUAN, PR 00920-3813
(787) 640-4362
Mailing address
453 CALLE CONSTANCIA, SAN JUAN, PR 00920-3813
(876) 404-3627
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2809
PR
Other
Enumeration date
08/28/2015
Last updated
05/18/2023
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