Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 10521 | PR |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 10521 | PR |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 10521 | PR |
N | 207XX0801X | Orthopaedic Trauma Surgeon | 10521 | PR |
NPI | 1275591570 |
---|---|
Provider Name | Mrs. Ramon Luis Collazo-Bigles SR. |
First Address | San Juan, PR 00907-1521 |
Second Address | San Juan, PR 00907-1521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2006 |
Last Update Date | 07/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F07468 | (02) |