Individual
WILFREDO COSME-BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,PH.D.
Contact information
Practice address
47 AVE SEVERIANO CUEVAS STE 1, AGUADILLA, PR 00603-5751
(787) 658-6133
Mailing address
PO BOX 4864, AGUADILLA, PR 00605-4864
(787) 658-6133
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19335
PR
208000000X
Pediatrics Physician
19335
PR
Other
Enumeration date
04/03/2013
Last updated
11/17/2023
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