Healthcare Provider Details

I. General information

NPI: 1306482443
Provider Name (Legal Business Name): COHESION HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2019
Last Update Date: 01/12/2020
Certification Date: 01/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ROAD #2 KM 47.7
MANATI PR
00674
US

IV. Provider business mailing address

CAMINO DEL SOL 2 85 AVE LUNA
MANATI PR
00674
US

V. Phone/Fax

Practice location:
  • Phone: 787-621-4102
  • Fax:
Mailing address:
  • Phone: 787-807-1812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. YOEL CRUZ
Title or Position: VICE- PRESIDENT
Credential: MD
Phone: 787-898-2950