Collazo, Rosa Liz

Collazo, Rosa Liz is an sole proprietor health care provider with primary practice located at D95 Ave Los Millones Reparto Alhambra, Bayamon PR 00957. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Collazo, Rosa Liz can be contacted via phone (787) 562-0802.

Contact Information

Primary practice address
D95 Ave Los Millones Reparto Alhambra Bayamon PR 00957
Phone: (787) 562-0802
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2203 Puerto Rico

Profile Details

NPI number 1629297064
LBN Legal business name Collazo, Rosa Liz
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2007
Last updated Jun 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629297064 NPPES
Puerto Rico Other 9530011 HUMANA HEALTH
Puerto Rico Other 206239 HUMANA HEALTH
Puerto Rico Other 42123 HUMANA HEALTH
Puerto Rico Other N594 HUMANA HEALTH

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