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Organization
COSTA ESTE MEDICAL SERVICES CORP
Active
Organization
COSTA ESTE MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMARY M. GONZALEZ M.D. (PRESIDENT)
(787) 860-5002
Entity
Organization
Contact information
Practice address
F5 CALLE PRINCIPAL, URB. BARALT, FAJARDO, PR 00738-3798
(787) 860-5002
(787) 860-3800
Mailing address
PO BOX 1001, LUQUILLO, PR 00773-1001
(787) 860-5002
(787) 860-3800
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
PR
Other
Enumeration date
03/05/2008
Last updated
07/21/2022
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