Organization
COOPERATIVA DE SERVICIOS DE SALUD DE PR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E LANDESTOY M.D. (PRESIDENTE)
(787) 762-9424
Entity
Organization
Contact information
Practice address
AL5 VIA ELENA, VILLA FONTANA, CAROLINA, PR 00983-3901
(787) 762-9424
Mailing address
AL5 VIA ELENA, VILLA FONTANA, CAROLINA, PR 00983-3901
(787) 762-9424
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
278
PR
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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