| Organization Name: | COSSMA, INC |
| NPI Number: | 1003288341 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ISOLINA MIRANDA (EXECUTIVE DIRECTOR) |
| Mailing Address: | Carr 722 Km 6.4 Bo Robles-rabanal Aibonito |
| State: | PR US |
| Postal Code: | 00705 |
| Phone Number: | 7877398182 |
| Fax Number: | |
| NPI Enumeration Date: | 10/27/2015 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 86 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |