National Provider Identifier Database

COOPERATIVA DE SERVICIOS MEDICOS DE PUERTO RICO
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

COOPERATIVA DE SERVICIOS MEDICOS DE PUERTO RICO
168 CALLE PROGRESO
AGUADILLA, PR00603-4814
Phone: 787-882-5705
Fax: 787-882-5705
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Anesthesiology 207L00000X
Body Imaging 2085B0100X
Colon & Rectal Surgery 208C00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Internal Medicine 207R00000X
Nuclear Medicine 207U00000X
Obstetrics & Gynecology 207V00000X
Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for COOPERATIVA DE SERVICIOS MEDICOS DE PUERTO RICO

NPI Number 1225287394
Legal business name
LBN
COOPERATIVA DE SERVICIOS MEDICOS DE PUERTO RICO
Authorized official IVONNE IRIZARRY VALLE - (ADMINISTRADORA)
Entity Organization
Organization subpart No
Enumeration date 09/15/2008
Last updated 09/15/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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