Organization
COOPERATIVA DE SERVICIOS MEDICOS DE PUERTO RICO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IVONNE IRIZARRY VALLE J.D (ADMINISTRADORA)
(787) 882-5705
Entity
Organization
Contact information
Practice address
168 CALLE PROGRESO, AGUADILLA, PR 00603-4814
(787) 882-5705
(787) 882-5705
Mailing address
PO BOX 5264, AGUADILLA, PR 00605-5264
(787) 882-5705
(787) 882-5705
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207U00000X
Nuclear Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
2085B0100X
Body Imaging Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/15/2008
Last updated
09/15/2008
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