Provider Demographics
NPI:1053840561
Name:CENTRO MEDICO DE COZUMEL SA DE CV
Entity Type:Organization
Organization Name:CENTRO MEDICO DE COZUMEL SA DE CV
Other - Org Name:GRUPO MEDICO COSTAMED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CP
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-526-9751
Mailing Address - Street 1:PO BOX 11198
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33339-1198
Mailing Address - Country:US
Mailing Address - Phone:954-526-9751
Mailing Address - Fax:
Practice Address - Street 1:CALLE 1RA SUR NO. 101 ADOLFO LOPEZ MATEO
Practice Address - Street 2:
Practice Address - City:COZUMEL
Practice Address - State:QUINTANA ROO
Practice Address - Zip Code:77640
Practice Address - Country:MX
Practice Address - Phone:987-872-9400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital