Costa Este Medical Services LLC
NPI #1174007470 in Fajardo, Puerto Rico
Provider Information
- NPI Number
- 1174007470
- Entity Type
- Organization
- Organization Name
- Costa Este Medical Services LLC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Sep 21, 2018
- Last Updated
- Sep 21, 2018
Practice Location
- Address
- AVE PRINCIPAL F4
- Address 2
- URB BARALT
- City
- Fajardo
- State
- Puerto Rico
- ZIP Code
- 00738
- Phone
- (787) 860-3700
Authorized Official
- Name
- MRS. ISMARY M GONZALEZ, DO
- Title
- PRESIDENT
- Phone
- (787) 646-7769
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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