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Organization

COLLAZO MEDICAL SERVICE CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAMSY COLLAZO LUGO (PRESIDENT / EMT-P)
(939) 452-4908
Entity
Organization

Contact information

Practice address
URB. STARLIGHT, CALLE PERSEO 3113, PONCE, PR 00717
(939) 438-7943
(787) 842-4328
Mailing address
URB. STARLIGHT, CALLE PERSEO 3113, PONCE, PR 00717
(939) 438-7943
(787) 842-4328

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
479117
PR INCORPORATION NUMBER
PR
Enumeration date
04/06/2022
Last updated
09/06/2022
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