Individual ProviderBrian Collazo TjonafoekGeneral PracticeAllopathic & Osteopathic PhysiciansPractice AddressPradera Shopping Center Carr 931 Km 5.4, Gurabo, PR 00778-0077(787) 743-1985PECOS EnrollmentBased on the most recent information from CMS, provider Brian Collazo Tjonafoek is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1740898469Provider TypeIndividualFull NameCollazo Tjonafoek, BrianGenderMaleSole ProprietorNoEnumeration Date7/20/2020Last Updated2/19/2025Contact InformationPractice LocationPractice AddressPradera Shopping Center Carr 931 Km 5.4, Gurabo, PR 00778-0077Phone(787) 743-1985FaxUnlisted FaxMailing LocationMailing AddressPO Box 9397, Humacao, PR 00792-9397PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208D00000XPrimaryDescriptionGeneral PracticeAllopathic & Osteopathic PhysiciansLicense24183Puerto RicoCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer