Provider Information for 1245809862
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CORPORACION DE SERVICIOS DE SALUD Y MEDICINA AVANZADA COSSMA
Other Names:Other Name:FARMACIA COSSMA AIBONITOOrganization Subpart: NO
NPI: 1245809862
Last Updated: 2021-10-21
Certification Date: 2021-10-21
Certification Date: 2021-10-21
Details
Name | Value | ||||||||
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NPI | 1245809862 | ||||||||
Enumeration Date | 2021-06-18 | ||||||||
NPI Type | NPI-2 Organization | ||||||||
Status | Active | ||||||||
Authorized Official Information | Name: JACKELINE BERNARD MILIAN Title: BILLING MANAGER Phone: 7877398182 | ||||||||
Mailing Address | PO BOX 1330 CIDRA, PR 00739-1330 United States Phone: 787-739-8182 | Fax: | ||||||||
Primary Practice Address | PR-14 KM 80.4 PARQUE INDUSTRIAL BO PUEBLO AIBONITO, PR 00705 United States Phone: 787-739-8182 | Fax: | ||||||||
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