Active NPIOrganization

Costa Este Medical Services LLC

Health Maintenance Organization in Fajardo, Puerto Rico

NPI Number1174007470
Practice location
Ave Principal F4, Urb Baralt, Fajardo, PR 00738
Fax
787-860-3800
Last updated
September 21, 2018

Costa Este Medical Services LLC is a healthcare organization based in Fajardo, PR. Costa Este Medical Services LLC practices in Fajardo, PR. The NPI Number for Costa Este Medical Services LLC is 1174007470. The current practice location address for Costa Este Medical Services LLC is Ave Principal F4, Urb Baralt, Fajardo, PR 00738 and can be reached out via phone at 787-860-3700 and via fax at 787-860-3800.

Provider Profile Details

NPI Number
1174007470
Provider Name
Costa Este Medical Services LLC
Provider Entity Type
Organization
Address
Ave Principal F4, Urb Baralt, Fajardo, PR 00738
Phone Number
787-860-3700
Fax Number
787-860-3800
Primary Taxonomy
Health Maintenance Organization · 302R00000X
Organization Subpart
No
Authorized Official
Mrs. Ismary M Gonzalez, DO · President · 787-646-7769
Other Names
Costa Este Medical Services LLC (Doing Business As)
Provider Enumeration Date
September 21, 2018
Last Update Date
September 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
Ave Principal F4
Urb Baralt
Fajardo, PR 00738
Zip
00738
Phone Number
787-860-3700
Fax Number
787-860-3800
Fajardo, PR 00738Get directions →

Provider Business Mailing Address Details

Address
Po Box 1001
Luquillo, PR 00773-1001
City
Luquillo
State
PR
Zip
00773-1001
Phone Number
787-860-3700
Fax Number
787-860-3800

License Information

Taxonomy
Health Maintenance Organization · 302R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Costa Este Medical Services LLC?

The NPI number of Costa Este Medical Services LLC is 1174007470. It was assigned on September 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Costa Este Medical Services LLC?

Costa Este Medical Services LLC is registered under the primary taxonomy Health Maintenance Organization (code 302R00000X).

Where does Costa Este Medical Services LLC practice?

The practice location is Ave Principal F4, Urb Baralt, Fajardo, PR 00738. The office can be reached at 787-860-3700 (phone) or 787-860-3800 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174007470 directly on the NPPES registry website.

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