MEDICARE: MRS. RAMON LUIS COLLAZO-BIGLES SR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	10521	PR
2	207XS0114X	Adult Reconstructive Orthopaedic Surgery Physician	10521	PR
3	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	10521	PR
4	207XX0801X	Orthopaedic Trauma Physician	10521	PR

General Provider Information

NPI Number	:	1275591570
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RAMON LUIS COLLAZO-BIGLES SR. MD

Provider Business Mailing Address
First Line	:	29 CALLE WASHINGTON
Second Line	:	STE 508 ASHFORD MEDICAL CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1521
Country	:	US
Telephone Number	:	787-729-0909
Fax Number	:	787-729-0929

Provider Business Practice Location Address
First Line	:	29 CALLE WASHINGTON
Second Line	:	STE 508 ASHFORD MEDICAL CENTER
City	:	SAN JUAN
State	:	PR
Zip	:	00907-1521
Country	:	US
Telephone Number	:	787-729-0909
Fax Number	:	787-729-0929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	08/07/2013

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