IndividualActive
Jesus Collazo, R.PH.
NPI 1295945053 · Nutrition Support Pharmacist · San Juan, PR
Provider details
- NPI number
- 1295945053
- Entity type
- Individual
- Primary specialty
- Nutrition Support PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4596 (PR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
690 Calle Cesar Gonzalez
Apt. 902
San Juan, PR 00918-3901
Phone: (787) 484-5394
Fax: (787) 282-8996
Mailing address
690 Calle Cesar Gonzalez
San Juan, PR 00918-3901
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.