A.Collazo MD, CSP

Organization Active NPI Medical Specialty Clinic/Center · Ponce, PR

NPI 1922402437 · NPPES record last updated Oct 13, 2014

Key facts

NPI
1922402437
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
License
6554 (PR)
Legal business name
A.COLLAZO MD, CSP
Practice address
Ave. Ponce by Pass 2225
Suite 409
Ponce, PR 00717-1322
Phone
(787) 844-6165
Fax
(787) 844-6130
NPI assigned
Oct 13, 2014
Organization subpart
No

Authorized official

Name
Dr. Armando J Collazo, MD
Title
Doctor
Phone
(787) 844-6165

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 6554 PR Yes
Exclusive Provider Organization 302F00000X 6554 PR

Addresses

Primary practice location

Ave. Ponce by Pass 2225
Suite 409
Ponce, PR 00717-1322

Mailing address

Ave. 2225 Ponce by Pass
Suite 409
Ponce, PR 00717-1322
Phone (787) 844-6165

Other providers in Ponce, PR

All providers in Ponce, PR · Medical Specialty Clinic/Center in Puerto Rico

Sources for this page

Verify at the official NPI Registry.