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Organization
COCO SALUD VISUAL LLC
Active
Organization
COCO SALUD VISUAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETSY G COLON-ACEVEDO MD (MD/OWNER)
(787) 645-0897
Entity
Organization
Contact information
Practice address
2625 AVE HOSTOS STE 1, MAYAGUEZ, PR 00682-6326
(787) 645-0897
Mailing address
27 VILLA BENNY, MAYAGUEZ, PR 00680-7118
(787) 645-0897
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
NULL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578791646
—
PR
Enumeration date
03/26/2020
Last updated
11/27/2023
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