| Doctor Name: | DR. EDISSON H. OSORIO CUEVA |
| NPI Number: | 1134254691 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 6306 |
| Business Practice Address: | Calle La Rosa Numero 15 Anasco, PR - 006109998 |
| Business Phone Number: | 7878263422 |
| Business Fax Number: | |
| Mailing Address: | Po Box 159, RINCON |
| State: | PR |
| Postal Code: | 006770159 |
| Phone Number: | 7878262858 |
| Fax Number: | 7878266428 |
| NPI Enumeration Date: | 02/23/2007 |
| NPI Last Update Date: | 04/09/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 6306 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |