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NPI Code Detail

MEDICARE: DR. JUAN R PILLOT COSTAS MD

MEDICARE:  DR. JUAN R PILLOT COSTAS  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist10019PR
2207Q00000XFamily Medicine Physician10019PR

General Provider Information

NPI Number : 1154307015
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUAN R PILLOT COSTAS MD
Provider Business Mailing Address
First Line : PO BOX 8042
Second Line :
City : PONCE
State : PR
Zip : 00732-8042
Country : US
Telephone Number : 787-835-5956
Fax Number :
Provider Business Practice Location Address
First Line : 135 CALLE LUIS MUNOZ RIVERA
Second Line : SUITE #2
City : GUAYANILLA
State : PR
Zip : 00656
Country : US
Telephone Number : 787-835-5956
Fax Number : 787-835-5959
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2005
Last Update Date : 03/01/2024

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Directions to “ DR. JUAN R PILLOT COSTAS MD” Practice Location

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