Collazos-Rodriguez, Juan C

Collazos-Rodriguez, Juan C is an individual health care provider with primary practice located at 1410 Royal Palm Beach Blvd , Royal Palm Beach FL 33411-1608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Collazos-Rodriguez, Juan C can be contacted via phone (561) 777-5246.

Contact Information

Primary practice address
1410 Royal Palm Beach Blvd Royal Palm Beach FL 33411-1608
Phone: (561) 777-5246
Fax: (561) 484-5752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME131002 Florida

Profile Details

NPI number 1215199294
LBN Legal business name Collazos-Rodriguez, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated May 2nd, 2021 - about 5 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 1215199294 NPPES
Nevada MEDICAID 1215199294

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