Healthcare Provider Details

I. General information

NPI: 1851175384
Provider Name (Legal Business Name): COSSMA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 09/11/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARRETERA PR-14 KM 80.4 PARQUE INDUSTRIAL BARRIO PUEBLO
AIBONITO PR
00705-2044
US

IV. Provider business mailing address

PO BOX 1330
CIDRA PR
00739-1330
US

V. Phone/Fax

Practice location:
  • Phone: 787-739-8182
  • Fax: 787-739-8190
Mailing address:
  • Phone: 787-739-8182
  • Fax: 787-739-8190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: NORMA ANTOMATTEI
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 787-739-8182