Irma Leticia Collazo, X-RAY TECH
Individual provider Active NPI Radiologic Technologist · Patillas, PR
NPI 1902010226 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1902010226
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Radiologic Technologist 247100000X
- License
- 001184 (PR)
- Practice address
- 99 Guillermo Riefkhol Street
Patillas, PR 00723-0697 - Phone
- (787) 839-4320
- Fax
- (787) 271-0004
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001184 | PR | MD | Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Servicios Primarios de Salud de Patillas Inc. | Past | Accepting new patients | |
| Centro Servicios Primarios de Salud de Patillas Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 001184 | PR | Yes |
Addresses
Primary practice location
99 Guillermo Riefkhol Street
Patillas, PR 00723-0697
Mailing address
99 Guillermo Riefkhol Street
Patillas, PR 00723-0697
Phone (787) 839-4320
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001184 | Other | PR | RADIOLOGY TECH LICENSE |
Other providers in Patillas, PR
- Changri-la Resort, Inc.
- Yahaira Cintron-Perez
- Keila Cintron
- Yamaira Claudio
- Alexa Nicole Cochran Rivera
- Ketsy Ann Collazo
- Kiarahimar Colon-de Jesus
- Erialberto Colon-Soto
- Kirssis J Colon
- Marvalyn Cordero-Lanzar
All providers in Patillas, PR · Radiologic Technologist in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.