Organization
COSSMA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISOLINA MIRANDA (EXECUTIVE DIRECTOR)
(787) 739-8182
Entity
Organization
Contact information
Practice address
PARQUE INDUSTRIAL TEJAS, CARR 9922 KM 0.3 LOTE 8, LAS PIEDRAS, PR 00739
(787) 739-8182
Mailing address
PO BOX 1330, CIDRA, PR 00739-1330
(787) 739-8182
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
PR
Enumeration date
07/11/2019
Last updated
07/11/2019
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