# MEDIKO MEDICINA PRIMARIA CORP

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

## Provider details

- **NPI number:** 1942737432
- **Authorized official:** VANESSA PEREZ (DIRECTOR)
- **Authorized official phone:** (787) 653-5353

## Contact information

- **Practice address:** 3 CALLE MATADERO SUR, GURABO, PR 00778
- **Practice address phone:** (787) 653-5353
- **Practice address fax:** (787) 653-5364
- **Mailing address:** PO BOX 7589, CAGUAS, PR 00726-7589
- **Mailing address phone:** (787) 653-5353
- **Mailing address fax:** (787) 653-5364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 405300000X | Prevention Professional | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2017
- **Last updated:** 09/20/2018