Individual
LILLIAN PADILLA COSTOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
HERNANDEZ CARRION ALEJANDRO OTERO LOPEZ, MANATI, PR 00674
(787) 854-4120
Mailing address
PO BOX 1662, MANATI, PR 00674-1662
(787) 854-4120
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
12163
PR
Other
Enumeration date
01/24/2007
Last updated
03/31/2008
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