Individual
HECTOR OMAR COLLAZO SANTIAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 PONCE BYP STE 407, DAMAS HOSPITAL, PONCE, PR 00717-1318
(787) 840-8686
Mailing address
323 CALLE CARPINTERO, CAMINO DEL SUR, PONCE, PR 00716
(787) 607-4516
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21447
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
21447
PR
207RP1001X
Pulmonary Disease Physician
Primary
21447
PR
Other
Enumeration date
06/10/2016
Last updated
09/17/2024
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