# MEDIPREV

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699491050
- **Authorized official:** MARILLIAM JORGE (PRESIDENT)
- **Authorized official phone:** (787) 412-3346

## Contact information

- **Practice address:** CENTRO COMERCIAL CIUDAD JARDIN, LOCAL 1, BAYAMON, PR 00956
- **Practice address phone:** (787) 412-3346
- **Mailing address:** DG15 CALLE BABILONIA, BAYAMON, PR 00956-5342
- **Mailing address phone:** (787) 797-9999

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QR0206X | Mammography Clinic/Center | — | NULL | — |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 10/18/2022
- **Last updated:** 10/18/2022