Healthcare Provider Details

I. General information

NPI: 1922460633
Provider Name (Legal Business Name): BEATRIZ COLLADA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2016
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 CENTRAL PIKE STE 251
HERMITAGE TN
37076-3421
US

IV. Provider business mailing address

222 22ND AVE N
NASHVILLE TN
37203-1852
US

V. Phone/Fax

Practice location:
  • Phone: 629-255-2025
  • Fax: 629-255-4216
Mailing address:
  • Phone: 629-255-3486
  • Fax: 629-255-3075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number59649
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: