Organization
COSTA ESTE MEDICAL SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISMARY M. GONZALEZ M.D. (PRESIDENT)
(787) 860-5002
Entity
Organization
Contact information
Practice address
F5 CALLE PRINCIPAL, URB. BARALT, FAJARDO, PR 00738-3798
(787) 860-5002
(787) 860-3800
Mailing address
PO BOX 1001, LUQUILLO, PR 00773-1001
(787) 860-5002
(787) 860-3800
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
PR
Other
Enumeration date
03/05/2008
Last updated
07/21/2022
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