Provider Demographics
NPI:1689897803
Name:COSME, SARAH
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:COSME
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:113 BO CRUCE DAVILA # KM57.9
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-3130
Mailing Address - Country:US
Mailing Address - Phone:787-846-6307
Mailing Address - Fax:
Practice Address - Street 1:CRUCE DAVILA CARR 2 KM 57.2
Practice Address - Street 2:SUITE 2 #29
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617
Practice Address - Country:US
Practice Address - Phone:787-846-6307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty