JESUS A. COLLAZO R.PH. – NPI #1295945053
Pharmacist

A licensed pharmacist who has demonstrated specialized knowledge and skill in maintenance and/or restoration of optimal nutritional status, designing and modifying treatment according to patient needs.

JESUS COLLAZO is a pharmacist located in SAN JUAN, PR. NPPES has assigned the NPI number 1295945053 to JESUS COLLAZO on May 23, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 1835N1003X from the Health Care Provider Taxonomy code set, which is classified as Pharmacist, specializing in Nutrition Support

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESUS COLLAZO below.

NPI Profile for
JESUS A. COLLAZO

NPI Number
1295945053
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESUS A. COLLAZO
Credentials
R.PH.
Primary location
690 CALLE CESAR GONZALEZ
APT. 902
SAN JUAN, PR 00918-3901
Phone: (787) 484-5394 Fax: (787) 282-8996
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
1835N1003X
- Pharmacist / Nutrition Support (Primary)
PR 4596

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.