Individual
DR. HAYDEE COSTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
420 AVE PONCE DE LEON, MIDTOWN BUILDING, SUITE 604, SAN JUAN, PR 00918-3416
(787) 754-0585
(787) 282-6289
Mailing address
PO BOX 191984, SAN JUAN, PR 00919-1984
(787) 754-0585
(787) 282-6289
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
3279
PR
Other
Enumeration date
08/02/2006
Last updated
07/08/2007
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