Individual provider · NPI-1

Manuel A Badillo Collazo, M.D.

Orthopaedic Surgery, Sports Medicine · San Juan, PR

NPI number1245248566
StatusActive
Last updated in NPPESSep 28, 2023

Details

NPI
1245248566
Entity type
Individual (NPI-1)
Name
Manuel A Badillo Collazo
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 3, 2006
Certification date
Sep 28, 2023
Last updated
Sep 28, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports Medicine12083PRYes

Practice location

21 St 3s3
Las Lomas
San Juan, PR 00921

Phone 787-774-0692 · Fax 787-706-9112

Mailing address

101pitirre
Montehiedra
San Juan, PR 00926

Phone 787-774-0692 · Fax 787-706-9112

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