| Doctor Name: | DR. MARIELLY RODRIGUEZ COSS |
| NPI Number: | 1255508891 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 17124 |
| Business Practice Address: | Urb. Las Leandras Calle#3 R-20 Humacao, PR - 00791 |
| Business Phone Number: | 7874799883 |
| Business Fax Number: | 7878506398 |
| Mailing Address: | Las Leandras Station, Pmb100 R20 C3 HUMACAO |
| State: | PR |
| Postal Code: | 007913007 |
| Phone Number: | 7874799883 |
| Fax Number: | 7878506398 |
| NPI Enumeration Date: | 05/13/2008 |
| NPI Last Update Date: | 05/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17124 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |