MEDICARE: SERGIO COLLAZO SR

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	3416L0300X	Land Ambulance	TC AMB 683	PR

General Provider Information

NPI Number	:	1841566551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SERGIO COLLAZO SR

Provider Business Mailing Address
First Line	:	2525 AVE EDUARDO RUBERTE
Second Line	:	COLISEO SHOPPING CENTER SUITE 205
City	:	PONCE
State	:	PR
Zip	:	00728-1739
Country	:	US
Telephone Number	:	787-635-3348
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 AVE EDUARDO RUBERTE
Second Line	:	COLISEO SHOPPING CENTER SUITE 205
City	:	PONCE
State	:	PR
Zip	:	00728-1739
Country	:	US
Telephone Number	:	787-635-3348
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SERGIO COLLAZO
Credential	:
Telephone Number	:	787-635-3348

Provider Enumeration Date	:	03/27/2012
Last Update Date	:	05/05/2014

Similar Medicare Providers

1821926429 — VITALIFERA LLC
Practice Location Address:

2525 AVENIDA EDUARDO RUBERTE , OFICINA 101
PONCE, PR
00728-1739

Practice Phone: 787-259-5990
Practice Fax:

1225006448 — DR. ARMANDO ANTONIO WISCOVITCH VELEZ MD
Practice Location Address:

2525 AVE EDUARDO RUBERTE , STE 101
PONCE, PR
00728-1739

Practice Phone: 787-259-5990
Practice Fax: 787-259-5990

1477501260 — DR. GERARDO JORGE VENDRELL M.D.
Practice Location Address:

2525 AVE EDUARDO RUBERTE , SUITE 111 COLISEO SHOPPING CENTER
PONCE, PR
00728-1739

Practice Phone: 787-812-5631
Practice Fax:

1073629242 — MARIA DEL C ALVELO RODRIGUEZ DMDD
Practice Location Address:

2525 AVE EDUARDO RUBERTE , SUITE 107 COLISEO SHOPPING CENTER
PONCE, PR
00728-1739

Practice Phone: 787-842-4959
Practice Fax: 787-842-4959

1619805181 — GENESIS MONTES GONZALEZ
Practice Location Address:

JARDINES DEL CARIBE CALLE 17 #111 NORTE
PONCE, PR
00728

Practice Phone: 787-651-6090
Practice Fax:

1821127846 — CARLOS BLANCO MORALES DMD DENTIST
Practice Location Address:

559 CALLE RAMOS ANTONINI , EL TUQUE APT 1
PONCE, PR
00728-4700

Practice Phone: 787-841-2618
Practice Fax: 787-841-2618

Directions to “SERGIO COLLAZO SR ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.