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NPI Code Detail

MEDICARE: MABEL TURELL COLLAZO

MEDICARE: MABEL TURELL COLLAZO
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
1103TC0700XClinical Psychologist7285PR

General Provider Information

NPI Number : 1457084683
Entity Type Code : Individual
Provider Name (Legal Business Name) : MABEL TURELL COLLAZO
Provider Business Mailing Address
First Line : ALTAVISTA 1832 CALLE CLAVEL
Second Line :
City : PONCE
State : PR
Zip : 00716-2933
Country : US
Telephone Number : 787-677-4143
Fax Number :
Provider Business Practice Location Address
First Line : 22 CALLE SOL STE 1
Second Line :
City : PONCE
State : PR
Zip : 00730-3820
Country : US
Telephone Number : 787-677-4143
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2022
Last Update Date : 08/28/2025

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Directions to “ MABEL TURELL COLLAZO ” Practice Location

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