Healthcare Provider Details

I. General information

NPI: 1255638052
Provider Name (Legal Business Name): COBERTURAS MEDICAS CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2011
Last Update Date: 05/11/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 CALLE MATADERO S
GURABO PR
00778
US

IV. Provider business mailing address

PO BOX 7589
CAGUAS PR
00726-7589
US

V. Phone/Fax

Practice location:
  • Phone: 787-653-5353
  • Fax: 787-653-5364
Mailing address:
  • Phone: 787-653-5353
  • Fax: 787-653-5364

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number40D2092036
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELBA NAVARRO
Title or Position: FINANCE
Credential: SRA.
Phone: 787-653-5353