| NPI | 1174007470 |
|---|---|
| Doing Business As | COSTA ESTE MEDICAL SERVICES LLC |
| Entity Type | Organization |
| Authorized Contact | ISMARY M GONZALEZ President 787-646-7769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-21 |