| Doctor Name: | DR. SHEYLA MARIE COLLAZO |
| NPI Number: | 1336289602 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16697 |
| Business Practice Address: | Bayamon Medical Plaza Suite 603 Bayamon, PR - 00959 |
| Business Phone Number: | 7873661608 |
| Business Fax Number: | 7877408788 |
| Mailing Address: | 130 Ave Winston Churchill, Suite 1 Pmb 337 SAN JUAN |
| State: | PR |
| Postal Code: | 009266013 |
| Phone Number: | 7873661608 |
| Fax Number: | 7877408788 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16697 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |