Cooperativa de Servicios de Salud de PR

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

278 Issued in PR

Legal business name

COOPERATIVA DE SERVICIOS DE SALUD DE PR

Practice address

Al5 Via Elena
Villa Fontana
Carolina, PR 00983-3901

Phone

(787) 762-9424

NPI assigned

Apr 22, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Luis E Landestoy, M.D.

Title

Presidente

Phone

(787) 762-9424

Specialties & licenses 1

Addresses

Tax ID family

Cooperativa de Servicios de Salud de PR2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ippa Salud Coop

  • Clinic/Center
  • Guaynabo, PR
  • NPI 1891232633
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429660800000",
    "number": "1366839847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AL5 VIA ELENA",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833901",
            "telephone_number": "787-762-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AL5 VIA ELENA",
            "address_2": "VILLA FONTANA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009833901",
            "telephone_number": "787-762-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERATIVA DE SERVICIOS DE SALUD DE PR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A",
        "authorized_official_last_name": "LANDESTOY",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENTE",
        "authorized_official_telephone_number": "787-762-9424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PR",
            "license": "278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comprehensive Therapeutic Center, Inc.
• Luzill Clarimar Concepcion Almestica, BSN
• Alexandra M. Conde-Toro, MD
• Soraya Conde, RPH
• Consultorio Medico Dr Canales LLC
• Giannina Coppola-Fasick, MD
• Angelo Coppola, M.D.
• Jaylin L Corchado Jimenez
• Gabriella Maria Cordero Gallardo, DMD
• Enerolisa Altagracia Cordero-Polanco, M.D

• Exclusive Provider Organization in Carolina, PR
• Providers in Carolina, PR by specialty
• Exclusive Provider Organization in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.