Organization
CENTRO SENOLOGIA DRA MAGDA COSTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAGDA COSTA (PROPIETARIA)
(787) 860-1642
Entity
Organization
Contact information
Practice address
AVENIDA CONQUISTADOR B1, URBANIZACION VEVE CALZADA, FAJARDO, PR 00738-0000
(787) 860-1642
Mailing address
AVENIDA CONQUISTADOR B1, URBANIZACION VEVE CALZADA, FAJARDO, PR 00738-0000
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025953
MEDICARE
—
Enumeration date
06/01/2015
Last updated
06/01/2015
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