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1134112667
ERNESTO LUIS COLLAZO
SAN JUAN, PR
NPI
1134112667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207W00000X Ophthalmology
(Licence: PR 11507)
Enumeration Date
2005-08-30
Last Update Date
2018-04-20
Business Address
-- ERNESTO LUIS COLLAZO M.D.
1503 PROF. AUGUSTO RODRIGUEZ SEGUNDO PISO
SAN JUAN, PR 00909
Phone number: 787-728-3700
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Mailing Address
-- ERNESTO LUIS COLLAZO M.D.
PO BOX 366407
SAN JUAN, PR 00936-6407
Phone number: 787-728-3700
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