| Doctor Name: | DR. MARIA A COLLAZO |
| NPI Number: | 1699707984 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | Calle Jose De Diego, Ciales Pueblo Num 25 Ciales, PR - 00638 |
| Business Phone Number: | 7878711146 |
| Business Fax Number: | 7878710625 |
| Mailing Address: | E26 Calle A Sur, Urb. Flamboyan MANATI |
| State: | PR |
| Postal Code: | 00674 |
| Phone Number: | 7878711146 |
| Fax Number: | 7878710625 |
| NPI Enumeration Date: | 07/07/2006 |
| NPI Last Update Date: | 06/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |