Most Relevant Information
Provider Data
| NPI Number: | 1003698721 |
| Provider Name: | MARIA DE LOS ANGELES BLANCO COLLAZO MS |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 793 |
Most Important Dates
| Enumeration Date: | 10/17/2023 |
| Last Updated: | 10/17/2023 |
Provider Practice Location
54 CALLE CARRION MADURO N
COAMO
PR
007692324
Practice Location Phone/Fax
| Phone: | 1787508222 |
| Fax: |
Provider Mailing Location
HC 1 BOX 10136
COAMO
PR
007699704
Provider Mailing Phone/Fax
| Phone: | 1787508222 |
| Fax: |