Active NPIIndividual providerSole proprietor

Lismar Collado, MD

Student in an Organized Health Care Education/Training Program in Jackson, Tennessee

NPI Number1063187896
Practice location
294 Summar Dr, Jackson, TN 38301-3915
Fax
—
Last updated
March 28, 2024

Lismar Collado is a Student in an Organized Health Care Education/Training Program based in Jackson, TN. Lismar Collado practices in Jackson, TN and has the professional credentials of MD. The NPI Number for Lismar Collado is 1063187896. The current practice location address for Lismar Collado is 294 Summar Dr, Jackson, TN 38301-3915 and can be reached out via phone at 787-616-3176.

Provider Profile Details

NPI Number
1063187896
Provider Name
Lismar Collado
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
294 Summar Dr, Jackson, TN 38301-3915
Phone Number
787-616-3176
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2021
Last Update Date
March 28, 2024
Certification Date
March 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
294 Summar Dr
Jackson, TN 38301-3915
Zip
38301-3915
Phone Number
787-616-3176
Jackson, TN 38301Get directions →

Provider Business Mailing Address Details

Address
Hc 43 Box 11858
Cayey, PR 00736-9228
City
Cayey
State
PR
Zip
00736-9228
Phone Number
787-616-3176

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lismar Collado, MD?

The NPI number of Lismar Collado, MD is 1063187896. It was assigned on August 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Lismar Collado, MD?

Lismar Collado, MD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).

Where does Lismar Collado, MD practice?

The practice location is 294 Summar Dr, Jackson, TN 38301-3915. The office can be reached at 787-616-3176 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063187896 directly on the NPPES registry website.

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