Organization
FERNANDO COSTAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERNANDO COSTAS M (SPEECH AND LANGUAGE PATHOLOGIST)
(787) 508-6919
Entity
Organization
Contact information
Practice address
7 CARR 877 # KM, MARGINAL TRUJILLO ALTO, SAN JUAN, PR 00926-8212
(939) 204-8074
Mailing address
PO BOX 43002, SUITE 515, RIO GRANDE, PR 00745-6601
(787) 221-3421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1086
PR
Other
Enumeration date
02/19/2016
Last updated
02/19/2016
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