Provider Demographics
NPI:1336289602
Name:COLLAZO, SHEYLA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:SHEYLA
Middle Name:MARIE
Last Name:COLLAZO
Suffix:
Gender:F
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:130 AVE WINSTON CHURCHILL
Mailing Address - Street 2:SUITE 1 PMB 337
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6013
Mailing Address - Country:US
Mailing Address - Phone:787-480-3743
Mailing Address - Fax:787-740-8788
Practice Address - Street 1:BAYAMON MEDICAL PLAZA
Practice Address - Street 2:SUITE 603
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-480-3743
Practice Address - Fax:787-740-8788
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2023-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR16697208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice