Healthcare Provider Details

I. General information

NPI: 1922288232
Provider Name (Legal Business Name): DRA MARIA R COMAS, CSP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 09/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CAIMITAL ALTO CARR2KM119.3
AGUADILLA PR
00603
US

IV. Provider business mailing address

PO BOX 1038
AGUADA PR
00602
US

V. Phone/Fax

Practice location:
  • Phone: 787-882-3359
  • Fax: 787-882-3359
Mailing address:
  • Phone: 787-882-3359
  • Fax: 787-882-3359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA R COMAS
Title or Position: OWNER
Credential: MD
Phone: 787-882-3359