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Organization

COSSMA, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. ISOLINA MIRANDA (EXECUTIVE DIRECTOR)
(787) 739-8182
Entity
Organization

Contact information

Practice address
CARR 722 KM 6.4, BO ROBLES-RABANAL, AIBONITO, PR 00705
(787) 739-8182
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
(787) 739-8190

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
86
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82042
MEDICARE GROUP NUMBER
PR
Enumeration date
10/27/2015
Last updated
10/27/2015
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