Organization
A.COLLAZO MD, CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARMANDO J COLLAZO MD (DOCTOR)
(787) 844-6165
Entity
Organization
Contact information
Practice address
AVE. PONCE BY PASS 2225, SUITE 409, PONCE, PR 00717-1322
(787) 844-6165
(787) 844-6130
Mailing address
AVE. 2225 PONCE BY PASS, SUITE 409, PONCE, PR 00717-1322
(787) 844-6165
(787) 844-6130
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
6554
PR
302F00000X
Exclusive Provider Organization
6554
PR
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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