Doctor Name: | DR. MARIA ELENA COLLADO |
NPI Number: | 1073817383 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 18122 |
Business Practice Address: | 6140 Sw 70th St Larkin Multispecialty Clinic South Miami, FL - 331433419 |
Business Phone Number: | 7869256227 |
Business Fax Number: | |
Mailing Address: | 8567 Coral Way # 327, MIAMI |
State: | FL |
Postal Code: | 331552335 |
Phone Number: | 7869256227 |
Fax Number: | |
NPI Enumeration Date: | 12/29/2010 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 18122 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |