Organization
MEDIKO IMAGING INC.
Active
Other names
Mediko Imaging Inc. Humacao
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABNER GONZALEZ COSTAS SR. (ADMINISTRATOR)
(787) 403-4787
Entity
Organization
Contact information
Practice address
CALLE VICTORIA #12, BARRIO TEJAS, HUMACAO, PR 00791
(787) 743-1563
Mailing address
PO BOX 8729, CAGUAS, PR 00726-8729
(787) 743-1563
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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