Provider Demographics
NPI:1760374250
Name:COVA, ISEL (MD)
Entity type:Individual
Prefix:DR
First Name:ISEL
Middle Name:
Last Name:COVA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EDELVIS
Other - Middle Name:ISEL
Other - Last Name:LACHATAIGNERAIS BONET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:6050 SW 63RD ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-2280
Mailing Address - Country:US
Mailing Address - Phone:512-529-8380
Mailing Address - Fax:
Practice Address - Street 1:2801 NW 79TH AVE STE 2000
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33122-1174
Practice Address - Country:US
Practice Address - Phone:305-243-8642
Practice Address - Fax:305-324-0363
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHSE22351390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program