Individual
MAGDA DOLORES COSTA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 AVE DOMENECH, SAN JUAN, PR 00918-3512
(787) 157-5685
(787) 751-8432
Mailing address
303 AVE DOMENECH, SAN JUAN, PR 00918-3512
(787) 157-5685
(787) 751-8432
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5242
PR
Other
Enumeration date
01/20/2006
Last updated
07/08/2007
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