Provider Demographics
NPI:1649039207
Name:PULIDO, COSETTE (MD)
Entity type:Individual
Prefix:
First Name:COSETTE
Middle Name:
Last Name:PULIDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 W FLAGLER ST APT 106
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-1831
Mailing Address - Country:US
Mailing Address - Phone:786-734-3075
Mailing Address - Fax:
Practice Address - Street 1:9931 W FLAGLER ST APT 106
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-1831
Practice Address - Country:US
Practice Address - Phone:786-734-3075
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program