| Organization Name: | DR OSORIO C.S.P |
| NPI Number: | 1144643073 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | EDISSON H OSORIO (DOCTOR) |
| Mailing Address: | Calle Manuel B Malave Numero 15 Anasco |
| State: | PR US |
| Postal Code: | 006100000 |
| Phone Number: | 7878262858 |
| Fax Number: | 7878266428 |
| NPI Enumeration Date: | 01/29/2014 |
| NPI Last Update Date: | 01/29/2014 |
| 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: | |