Dr. Luis Raul Collazo
M.D. | Pediatrics | Male
Dr. Luis Raul Collazo, M.D. is a Gaylord, Michigan based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Luis Raul Collazo is also known as
Luis Raul Collazo-rivera.
Current practice location of Dr. Luis Raul Collazo is
829 N Center Ave, Suite 130, Gaylord, Michigan - 49735-1595. He can be contacted on phone at
989-731-7930 and fax number 989-731-7948.
Dr. Luis Raul Collazo is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Luis Raul Collazo is
1598754715 which was assigned by NPPES on 20 Oct, 2005 and it was last updated on 11 Nov, 2020.
Dr. Luis Raul Collazo license number is
4301071438 for Pediatrics (208000000X) in Michigan.
Dr. Luis Raul Collazo is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Luis Raul Collazo basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Luis Raul Collazo |
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| Other Name : | Luis Raul Collazo-rivera |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Luis Raul Collazo address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 829 N Center Ave, Suite 130
Gaylord, MI, 49735-1595
United States |
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| Phone Number : | 989-731-7930 |
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| Fax Number : | 989-731-7948 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598754715 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 20 Oct, 2005 |
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| Last Updated On : | 11 Nov, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Luis Raul Collazo are as mentioned. Primary taxonomy code for Dr. Luis Raul Collazo, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301071438 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Luis Raul Collazo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 3506910402 | Other | MI | BCBSM |
| 4943810 | MEDICAID | MI | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | luis.collazo@omhmedicalgroup.directbygreenway.com
| No affiliation |
|
| 829 N CENTER AVE, SUITE 130
GAYLORD, MI, 49735-1595
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 829 N Center Ave, Suite 298
Gaylord, MI, 49735-1595
United States |
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| Phone Number : | 989-731-7708 |
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| Fax Number : | 989-731-7929 |
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Business Location:
Patients can refer following map for directions to
Dr. Luis Raul Collazo practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.