| Doctor Name: | DR. JOSE COLON-COLLAZO |
| NPI Number: | 1316283039 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | 003206 |
| Business Practice Address: | 20 Calle Florencio Santiago Coamo, PR - 007693241 |
| Business Phone Number: | 7877170428 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2141, COAMO |
| State: | PR |
| Postal Code: | 007694141 |
| Phone Number: | 7877170428 |
| Fax Number: | |
| NPI Enumeration Date: | 12/27/2012 |
| NPI Last Update Date: | 12/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 003206 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |