Individual
MRS. ADA A COLLAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACH
Contact information
Practice address
1324 CALLE CANADA, AVE DE DIEGO PUERTO NUEVO, SAN JUAN, PR 00920-3860
(787) 783-0750
(787) 781-8129
Mailing address
PO BOX 2138, CAROLINA, PR 00984-2138
(787) 757-4347
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/14/2007
Last updated
07/08/2007
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